title: Paradoxical embolus in transit.
abstract: Thrombus straddling a patent foramen ovale, namely, a paradoxical embolus in transit, is a rarely identified entity signifying impending arterial embolism. We report a series of 3 patients with preoperatively or intraoperatively identified paradoxical embolus in transit. All patients underwent surgical evacuation and had unremarkable postoperative courses with no episodes of arterial embolization. Surgical embolectomy should be considered early in the treatment of paradoxical embolus in transit.
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York; Department of Cardiothoracic Surgery, New York Methodist Hospital, New York, New York. Electronic address: bmworku@hotmail.com.
authors.forename: Berhane
authors.initials: B
authors.lastname: Worku
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York; Department of Cardiothoracic Surgery, New York Methodist Hospital, New York, New York.
authors.forename: Iosif
authors.initials: I
authors.lastname: Gulkarov
authors.affiliation: Department of Cardiothoracic Surgery, New York Methodist Hospital, New York, New York.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Steele
authors.affiliation: Department of Cardiothoracic Surgery, New York Methodist Hospital, New York, New York.
authors.forename: Bernard
authors.initials: B
authors.lastname: Kadosh
authors.affiliation: Department of Anesthesiology, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York.
authors.forename: Nikolaos J
authors.initials: NJ
authors.lastname: Skubas
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York.
authors.forename: Leonard N
authors.initials: LN
authors.lastname: Girardi
authors.affiliation: Department of Cardiothoracic Surgery, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York.
authors.forename: Arash
authors.initials: A
authors.lastname: Salemi
mesh_terms: D000328:Adult; D000368:Aged; D019320:Embolism, Paradoxical / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications*; D006801:Humans; D008297:Male; D014463:Ultrasonography