Paradoxical embolism: clinical presentation, diagnostic strategies, and therapeutic options.

Abstract:

:Thirty cases of paradoxical embolism are reviewed to consolidate clinical presentations and common predisposing factors. The presence of patent foramen ovale in the great majority of these patients in association with maneuvers that transiently elevate right atrial pressure is emphasized in relation to the pathophysiology of the disorder. Contrast echocardiography with provocative maneuvers such as Valsalva and cough are discussed and treatment options highlighted. The underdiagnosis of paradoxical embolism is discussed, and its potential importance in other more common vascular diseases addressed.

journal_name

Am Heart J

journal_title

American heart journal

authors

Loscalzo J

doi

10.1016/0002-8703(86)90692-7

subject

Has Abstract

pub_date

1986-07-01 00:00:00

pages

141-5

issue

1

eissn

0002-8703

issn

1097-6744

pii

0002-8703(86)90692-7

journal_volume

112

pub_type

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