Am J Emerg Med 2020 May 4. Epub 2020 May 4.
Department of Emergency Medicine, Yonsei University Wonju College of Medicine, 20 ilsanro, Wonju 26427, Republic of Korea. Electronic address:
This paper reports a case of paradoxical embolism of right heart thrombi visualized on transesophageal echocardiography during cardiopulmonary resuscitation (CPR). CPR may cause a right-to-left shunt by producing a sudden increase in right atrial pressure during the compression phase. In cardiac arrest patients with right heart thrombi who have received CPR, systemic embolization can occur owing to paradoxical embolism.