Massive cerebral infarction caused by paradoxical embolism: detection by transesophageal echocardiography

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
C S OforiG Hepler

Abstract

Two days after coronary artery bypass, a 75-year-old woman had sudden dense left-sided hemiplegia. A transthoracic echocardiogram showed a suspicious mass in the right atrium and right ventricle, which was confirmed by transesophageal echocardiography. Transesophageal echocardiography further demonstrated an elongated mass across a patent foramen ovale. Deep femoral venous thrombosis and massive cerebral infarction were also noted by Doppler ultrasonography and head computed tomographic scanning, respectively. Paradoxical embolization was thought to be the cause of the stroke.

References

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Citations

Jan 19, 2007·Neuroepidemiology·Douglas Dulli, Edgar A Samaniego
Nov 26, 2003·Lancet Neurology·David J Blacker
Mar 13, 2002·Chest·Peter S RoseDavid B Pearse
Sep 7, 2002·Stroke; a Journal of Cerebral Circulation·Dirk W DrosteE Bernd Ringelstein
Aug 25, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Christian PristipinoUNKNOWN European Haematological Society (EHA)
Oct 23, 2004·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nevzat UzunerKurt Niederkorn

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