Clot Through the Heart: Paradoxical Embolism With Thrombus-in-Transit at Multidetector Computed Tomography.
J Comput Assist Tomogr. 2015 Jul-Aug;39(4):598-600
Authors: Leach JR, Elicker B, Yee J, Puppula S, Wisneski JA, Yeh BM
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.
PMID: 25756804 [PubMed - indexed for MEDLINE]