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Document Details :

Title: Paradoxical arterial and pulmonary embolism in a patient with a thrombus between atrial septum and patent foramen ovale
Author(s): PIESTRZENIEWICZ, Katarzyna , MACIEJEWSKI, Marek
Journal: Acta Cardiologica
Volume: 59    Issue: 2   Date: April 2004   
Pages: 179-181
DOI: 10.2143/AC.59.2.2005173

Abstract :
We describe a 50-year-old woman with an incident of systemic and pulmonary embolism in whom transoesophageal examination (TEE) with the aid of contrast echocardiography (CE) identified a patent foramen ovale (PFO) with a residual thrombus between atrial septum and PFO valve suggesting paradoxical systemic embolization. The patient was diagnosed as heterozygous for prothrombin G20210A mutation. Control TEE performed after fibrinolysis, 2 months of heparin treatment followed by oral anticoagulation did not show any embolic material within the PFO.