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Massive bilateral pulmonary emboli, paradoxical embolus and the knot of life
Author(s) -
D. Platts,
Kiran Shekar,
Ainslie Senz,
Bruce Thomson
Publication year - 2012
Publication title -
european heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.336
H-Index - 293
eISSN - 1522-9645
pISSN - 0195-668X
DOI - 10.1093/eurheartj/ehs256
Subject(s) - medicine , knot (papermaking) , pulmonary embolus , embolus , cardiology , surgery , pulmonary embolism , chemical engineering , engineering
This 57-year-old male presented to the emergency department with presyncope and a right hemianopia 1 month after knee surgery. A computerized tomographic pulmonary angiogram confirmed extensive bilateral pulmonary emboli with a suspicion of a paradoxical embolus ( Panel A ). Transthoracic echocardiography revealed a moderately dilated right ventricle with mild systolic dysfunction, pulmonary …

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