Impending paradoxical embolization: Caught in flagrante delicto

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

    Research output: Contribution to journalArticlepeer-review


    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
    StatePublished - Jan 1 2008


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

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine
    • Critical Care and Intensive Care Medicine

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