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 2008
Externally publishedYes


  • 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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