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European Journal of Cardio-Thoracic Surgery, Vol 5, 105-107, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

Straddle embolus--imminent paradoxical embolus diagnosed by echocardiography and treated surgically

SP Barnard, EN Kulatilake, AA Azzu and S Ikram
Department of Cardiac Surgery, University Hospital of Wales, Cardiff, UK.

Paradoxical embolus, the passage of an embolus from the right to the left side of the circulation, was formerly recognised as a postmortem diagnosis. More recently, survivors with paradoxical embolus have been described. A case of paradoxical embolus is described in which the diagnosis was made clinically, and an imminent further embolus visualised by transoesophageal echocardiography, which was successfully treated surgically. Treatment strategies are discussed.


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