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| Content Provider | Taylor & Francis Online |
|---|---|
| Author | Nagra, Bipinpreet Awan, Muhammad Umer Miriyala, Varun Faraj, Kirmanj |
| Abstract | A 72-year-old male is diagnosed with paradoxical embolus after he presented with concurrent deep vein thrombosis, stroke, and multiple arterial emboli in the presence of a patent foramen ovale (PFO). Paradoxical embolus requires the passage of a thrombus from the venous into the arterial circulation through a right-to-left shunt leading to systemic embolism. But, despite the high incidence of PFO (27.3% across all age groups by autopsy), paradoxical embolism (PDE) is uncommon, representing <2% of all arterial emboli. We present a case report where a thrombus has been directly observed passing through the PFO during an echocardiogram study; thus, clearly delineating the true cause of multiple thromboemboli and stoke in our patient. Subsequent Transesophageal Echocardiography (TEE) also interestingly showed the thrombus in transit in the aorta and pulmonary artery. |
| File Format | PDF HTM / HTML |
| ISSN | 20009666 |
| DOI | 10.3402/jchimp.v6.31438 |
| Journal | Journal of Community Hospital Internal Medicine Perspectives |
| Volume Number | 6 |
| Issue Number | 4 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2016-09-07 |
| Access Restriction | Open |
| Subject Keyword | Paradoxical embolism Patent foramen Ovale Transesophageal echocardiogram Tissue plasminogen activator Deep venous Thrombosis |
| Content Type | Text |
| Subject | Internal Medicine |
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