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Impending paradoxical embolism: have we lost the clot?

Authors:
Finn Ghent Levi Bassin Michael Keller Gregory Cranney David McKenzie Peter W Grant

Clin Respir J 2014 Oct 20;8(4):460-2. Epub 2014 Jan 20.

Department of Cardiothoracic Surgery, Prince of Wales Hospital, Sydney, Australia.

Impending paradoxical embolism is a rare diagnosis that requires urgent treatment. We present a case where surgical thromboembolectomy was undertaken. The thrombus vanished from view on transesophageal ultrasound and was presumed to have undergone embolisation while bypass was established. Unexpectedly, it was found tangled in the superior vena cava cannula apertures.

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http://dx.doi.org/10.1111/crj.12093DOI Listing
October 2014

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Authors:
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Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL, United States. Electronic address:

Approximately one-third of strokes are cryptogenic in origin. These patients have a higher prevalence of patent foramen ovale (PFO) compared to individuals with stroke of known origin. It has been proposed that some cryptogenic strokes (CSs) can be caused by paradoxical embolism across a PFO. Read More

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