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September 27, 2025

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

Key Points

A string-like thrombus traversing the left atrium and ventricle leads to paradoxical embolism.
The case highlights risks associated with pulmonary arteriovenous fistulas and their potential complications.
A thorough assessment in cardiology is crucial to address such unusual thrombus presentations.
Understanding the dynamics of embolism in the setting of cardiac anatomy is essential for patient management.

Abstract

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

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