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Impending Paradoxical Thromboembolism Associated with Acute Pulmonary Embolism

Division of Cardiovascular Surgery
¹ Division of Cardiology, Kasugai Municipal Hospital, Kasugai, Japan

For reprint information contact: Yoshiyuki Takami, MD Tel: 81 568 570 057 Fax: 81 568 570 067 Email: cvs@hospital.kasugai.aichi.jp, Division of Cardiovascular Surgery, Kasugai Municipal Hospital, 1-1-1 Takagi-cho, Kasugai City 486-8510, Japan.

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A 58-year-old woman presented with palpitation and dyspnea over 4 days. An enhanced CT showed massive obstruction in the right pulmonary artery and partial embolization of the right kidney (Figure 1).

View larger version (99K): [in this window] [in a new window]   Figure 1. Enhanced CT scans demonstrating (A) occlusion of the right pulmonary artery and (B) partial embolization of the right kidney.