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Friedrich W Mohr
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Asian Cardiovasc Thorac Ann 2002;10:342-343
© 2002 Asia Publishing EXchange Pte Ltd

CASE STUDY

Caught in the Act: Impending Paradoxical Embolism

Alex M Fabricius, MD, Martin Krüger, MD, Michaela Hanke, MD, Friedrich W Mohr, MD

Division of Cardiovascular Surgery University of Leipzig Leipzig, Germany
For reprint information contact: Alex M Fabricius, MD Tel: 49 341 865 1421 Fax: 49 341 865 1452 email: faba{at}medizin.uni-leipzig.de Division of Cardiovascular Surgery, University of Leipzig, Strümpelstr 39, Leipzig D-04289, Germany.
In a 73-year-old woman admitted with pulmonary embolism, a thrombus wedged across a patent foramen ovale was revealed by transesophageal echocardiography. After systemic anticoagulation, cardiac embolectomy and closure of the atrial septal defect were considered. Before surgery, repeat transesophageal echocardiography revealed only a small patent foramen ovale with no residual thrombus. We assumed dissolution of the thrombus as the patient had no sign of systemic or recurrent pulmonary embolism.






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