title: Clot Through the Heart: Paradoxical Embolism With Thrombus-in-Transit at Multidetector Computed Tomography.
abstract: We present the case of a 67-year-old man with concomitant stroke and pulmonary embolism 1 day after radiofrequency catheter ablation for refractory atrial tachycardia. A chest computed tomographic angiogram revealed "thrombus-in-transit" across a patent foramen ovale, confirming the diagnosis of paradoxical embolism. Paradoxical embolism is a rare definitive diagnosis. Our case is a key demonstration of the even rarer instance where such a diagnosis is confirmed at multidetector computed tomography.
authors.affiliation: From the Departments of *Radiology and Biomedical Imaging and †Cardiology, University of California San Francisco, San Francisco, CA.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Leach
authors.forename: Brett
authors.initials: B
authors.lastname: Elicker
authors.forename: Judy
authors.initials: J
authors.lastname: Yee
authors.forename: Shilpa
authors.initials: S
authors.lastname: Puppula
authors.forename: Judith A
authors.initials: JA
authors.lastname: Wisneski
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Yeh
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D019320:Embolism, Paradoxical / Q000150:complications* / Q000000981:diagnostic imaging*; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods*; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging*