Impending paradoxical embolus: clinical imaging and successful surgical treatment.
In a patient with pulmonary emboli, transesophageal echocardiography showed a thrombus straddling the foramen ovale (impending paradoxical embolism). Proximal pulmonary emboli were visualized by spiral computed tomography and subsequent surgical treatment, consisting of removal of intracardiac clot, closure of the open foramen ovale and pulmonary embolectomy, was successful.
van Dantzig
J M
JM
Department of Cardiology, University Hospital Maastricht, The Netherlands. jm.vandantzig@cardio.azm.nl
Cheriex
E C
EC
Snoep
G
G
Prenger
K B
KB
D017548:Echocardiography, Transesophageal; D017128:Embolectomy; D019320:Embolism, Paradoxical / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed