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Images in Clinical Medicine
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Volume 329:930 September 23, 1993 Number 13
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Paradoxical Embolus

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Figure 1. Paradoxical Embolus.

A paradoxical embolus was identified in a 64-year-old woman who presented with sudden chest pain and marked dyspnea. Pulmonary embolism was suspected. Soon after admission, she had a massive stroke and died. At autopsy multiple pulmonary emboli were found. The foramen ovale was patent and contained a large, lengthy embolus straddling the atrial septum (Panel A). Panel B shows the embolus trapped in the patent foramen ovale (FO). LA denotes left atrium, and RA right atrium.

 


Mark E. Silverman, M.D.
Emory University School of Medicine
Atlanta, GA 30309


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