Caught in the Act: Paradoxical Emboli
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Implication
Case report reveals paradoxical embolization leading to ischemic stroke in a young woman, highlighting imaging utility.
Key Points
- This report aims to illustrate the phenomenon of paradoxical embolization in a young patient with underlying hypercoagulability.
- Case analysis of a 29-year-old woman with factor V Leiden and a venous catheter.
- Utilization of transesophageal echocardiogram to assess for patent foramen ovale and associated thrombus.
- Follow-up imaging post-intervention with percutaneous PFO closure.
- Identified severe right-to-left shunting (>20 microbubbles) and mobile thrombus in the right atrium.
- Patient experienced an ischemic stroke and showed improvement with anticoagulation therapy.
- Follow-up color-flow Doppler imaging post-PFO closure showed no interatrial shunting.
Cite This Study
Layoun et al. (2018) studied this question.