Paradoxical embolism due to a pulmonary arteriovenous fistula with a string-like thrombus traversing the left atrium and ventricle

Journal Article Accepted manuscript Paradoxical embolism due to a pulmonary arteriovenous fistula with a string-like thrombus traversing the left atrium and ventricle Get access Fumimaro Ishibashi, MD, Fumimaro Ishibashi, MD Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Shizuoka, Japan, 1088-1 Kobayashi Hamana-ku, Hamamatsu City, Shizuoka Pref, 434-8533, Japan Corresponding author and affiliation: Fumimaro Ishibashi, MD, Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Shizuoka, Japan., 1088-1 Kobayashi Hamana-ku, Hamamatsu City, Shizuoka Pref, 434-8533, Japan Tel.: +81 534 01 1111 Fax: +81 534 01 1190 E-mail: email protected https://orcid.org/0009-0007-9135-8356 Search for other works by this author on: Oxford Academic PubMed Google Scholar Takahiro Kanda, MD, Takahiro Kanda, MD Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Shizuoka, Japan, 1088-1 Kobayashi Hamana-ku, Hamamatsu City, Shizuoka Pref, 434-8533, Japan https://orcid.org/0000-0002-1230-8753 Search for other works by this author on: Oxford Academic PubMed Google Scholar Yuki Tokonami, MD, Yuki Tokonami, MD Division of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, Shizuoka, Japan, 20-1 Handayama 1-choume Chuo-ku, Hamamatsu City, Shizuoka Pref, 431-3192, Japan Search for other works by this author on: Oxford Academic PubMed Google Scholar Kei Tawarahara, MD Kei Tawarahara, MD Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Shizuoka, Japan, 1088-1 Kobayashi Hamana-ku, Hamamatsu City, Shizuoka Pref, 434-8533, Japan Search for other works by this author on: Oxford Academic PubMed Google Scholar European Heart Journal - Cardiovascular Imaging, jeaf284, https://doi.org/10.1093/ehjci/jeaf284 Published: 25 September 2025 Article history Received: 21 September 2025 Published: 25 September 2025