title: Pulmonary embolism and impending paradoxical embolism: a role for transesophageal echocardiography?
abstract: Thrombolysis is advocated as the treatment of choice for hemodynamically important pulmonary embolism. This paper reports the case of a patient with subacute massive pulmonary embolism in which thrombolysis was not considered appropriate because transesophageal echocardiography demonstrated a patent foramen ovale and impending paradoxical embolism.
authors.affiliation: Department of Cardiac Surgery, Nottingham City Hospital, UK.
authors.forename: C
authors.initials: C
authors.lastname: Alexiou
authors.forename: R A
authors.initials: RA
authors.lastname: Henderson
authors.forename: D
authors.initials: D
authors.lastname: Richens
mesh_terms: D000328:Adult; D000075202:Contraindications; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006344:Heart Septal Defects, Atrial / Q000150:complications; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D015912:Thrombolytic Therapy