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Paradoxical embolus caught in transit through a patent foramen ovale.
J Card Surg 2011; 26(2):151-3JC

Abstract

Diagnosing a paradoxical embolism is challenging, and it can be proven only if the thrombus is identified across the intracardiac defect. Very few cases have been diagnosed as an impending paradoxical embolism. Recently, the diagnosis and management of these entities have greatly improved with the advent of transesophageal echocardiography (compared with transthoracic echocardiography). Pulmonary hypertension may cause right-to-left shunting across a patent foramen ovale and predispose development of a paradoxical embolism. We report a patient with an impending paradoxical embolism that was caught in transit across the patent foramen ovale. The patient was treated successfully with emergent surgery.

Authors+Show Affiliations

Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21158915

Citation

Shah, Dipesh K., et al. "Paradoxical Embolus Caught in Transit Through a Patent Foramen Ovale." Journal of Cardiac Surgery, vol. 26, no. 2, 2011, pp. 151-3.
Shah DK, Ritter MJ, Sinak LJ, et al. Paradoxical embolus caught in transit through a patent foramen ovale. J Card Surg. 2011;26(2):151-3.
Shah, D. K., Ritter, M. J., Sinak, L. J., Miller, J. A., & Sundt, T. M. (2011). Paradoxical embolus caught in transit through a patent foramen ovale. Journal of Cardiac Surgery, 26(2), pp. 151-3. doi:10.1111/j.1540-8191.2010.01168.x.
Shah DK, et al. Paradoxical Embolus Caught in Transit Through a Patent Foramen Ovale. J Card Surg. 2011;26(2):151-3. PubMed PMID: 21158915.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Paradoxical embolus caught in transit through a patent foramen ovale. AU - Shah,Dipesh K, AU - Ritter,Matthew J, AU - Sinak,Lawrence J, AU - Miller,John A, AU - Sundt,Thoralf M,3rd Y1 - 2010/12/16/ PY - 2010/12/17/entrez PY - 2010/12/17/pubmed PY - 2011/7/27/medline SP - 151 EP - 3 JF - Journal of cardiac surgery JO - J Card Surg VL - 26 IS - 2 N2 - Diagnosing a paradoxical embolism is challenging, and it can be proven only if the thrombus is identified across the intracardiac defect. Very few cases have been diagnosed as an impending paradoxical embolism. Recently, the diagnosis and management of these entities have greatly improved with the advent of transesophageal echocardiography (compared with transthoracic echocardiography). Pulmonary hypertension may cause right-to-left shunting across a patent foramen ovale and predispose development of a paradoxical embolism. We report a patient with an impending paradoxical embolism that was caught in transit across the patent foramen ovale. The patient was treated successfully with emergent surgery. SN - 1540-8191 UR - https://www.unboundmedicine.com/medline/citation/21158915/Paradoxical_embolus_caught_in_transit_through_a_patent_foramen_ovale_ L2 - https://doi.org/10.1111/j.1540-8191.2010.01168.x DB - PRIME DP - Unbound Medicine ER -