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Correspondence
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Volume 330:1761-1762 June 16, 1994 Number 24
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Embolism Interruptus

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To the Editor: The detection of a patent foramen ovale by transesophageal echocardiography in patients with arterial ischemic events is increasingly thought to be associated with a paradoxical embolism1. Except for one report of an impending paradoxical embolism detected by transthoracic echocardiography,2 all diagnoses of paradoxical embolism through a patent foramen ovale have been either presumptive3 or, as in the image by Silverman (Sept. 23 issue),4 postmortem. We report a diagnosis of paradoxical embolism made by means of transesophageal echocardiography.

A 51-year-old obese woman was admitted to the hospital with dyspnea, migrating abdominal pain, and bloody diarrhea of five . . . [Full Text of this Article]

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