Clot Through the Heart: Paradoxical Embolism with Thrombus-in-Transit at Multidetector Computed Tomography

Joseph R. Leach, Brett Elicker, Judy Yee, Shilpa Puppula, Judith A. Wisneski, Benjamin M. Yeh

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We present the case of a 67-year-old man with concomitant stroke and pulmonary embolism 1 day after radiofrequency catheter ablation for refractory atrial tachycardia. A chest computed tomographic angiogram revealed "thrombus-in-transit" across a patent foramen ovale, confirming the diagnosis of paradoxical embolism. Paradoxical embolism is a rare definitive diagnosis. Our case is a key demonstration of the even rarer instance where such a diagnosis is confirmed at multidetector computed tomography.

Original languageEnglish (US)
Pages (from-to)598-600
Number of pages3
JournalJournal of computer assisted tomography
Volume39
Issue number4
DOIs
StatePublished - Jul 29 2015
Externally publishedYes

Keywords

  • paradoxical embolism
  • patent foramen ovale
  • thrombus-in-transit

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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