Impending paradoxical embolization: Caught in flagrante delicto

Sudhakar Pipavath, Arun Kuchela, Julie E. Takasugi, John R. Stratton, J. David Godwin

Research output: Contribution to journalArticle


Paradoxical embolism is a rare complication of venous thromboembolic disease. A thrombus in transit across the patent foramen ovale or other abnormal communication between the pulmonary and systemic circulations-impending paradoxical embolism-may be diagnosed or suspected at transthoracic echocardiography or computed tomography pulmonary angiography, and, if necessary, confirmed at transesophageal echocardiography. We present computed tomography and echocardiographic images of a 59-year-old man whose impending paradoxical embolism was successfully treated with unfractionated heparin.

Original languageEnglish (US)
Pages (from-to)52-54
Number of pages3
JournalClinical Pulmonary Medicine
Issue number1
Publication statusPublished - Jan 2008
Externally publishedYes



  • CT pulmonary angiography
  • Paradoxical embolism
  • Patent foramen ovale
  • Transesophageal echocardiography
  • Transthoracic echocardiography

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Pipavath, S., Kuchela, A., Takasugi, J. E., Stratton, J. R., & Godwin, J. D. (2008). Impending paradoxical embolization: Caught in flagrante delicto. Clinical Pulmonary Medicine, 15(1), 52-54.