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J Am Coll Cardiol, 1985; 5:1002-1004
© 1985 by the American College of Cardiology Foundation
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Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery

U Nellessen, WG Daniel, G Matheis, H Oelert, K Depping, and PR Lichtlen

During recovery from a posterolateral myocardial infarction, a 56 year old patient developed signs of deep vein thrombophlebitis and subsequently of pulmonary embolism. After conventional echocardiography showed masses in both atria, transesophageal two-dimensional echocardiography clearly revealed an elongated mass overriding an atrial septal defect. Impending paradoxical embolism was confirmed at surgery.


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