Impending paradoxical embolism
Population
A 52-year-old woman presenting with deep vein thrombosis and pulmonary embolism, found to have an impending…
Design
Case_report
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
Supports echocardiography in pulmonary embolism to detect impending paradoxical emboli; leaves open optimal management pending larger studies.
Structured PICO
P
Population
A 52-year-old woman presenting with deep vein thrombosis and pulmonary embolism, found to have an impending paradoxical embolism crossing a patent foramen ovale.
I
Intervention
Surgical removal of intracardiac thrombus and pulmonary emboli, closure of the foramen ovale, and initiation of conventional anticoagulant therapy.
O
Outcome
Clinical outcome at 1-year follow-up.
This case highlights the utility of routine echocardiography in patients with pulmonary embolism to detect rare but critical impending paradoxical emboli trapped in a patent foramen ovale.
Cite This Study
Verhamme et al. (2007) studied this question.