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.
- CT pulmonary angiography
- Paradoxical embolism
- Patent foramen ovale
- Transesophageal echocardiography
- Transthoracic echocardiography
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine