Impending paradoxical embolism

Soichiro Henmi; Hidekazu Nakai; Katsuhiro Yamanaka; Atsushi Omura; Takeshi Inoue; Kenji Okada

doi:10.1016/j.jccase.2020.11.021

Impending paradoxical embolism

J Cardiol Cases. 2020 Dec 4;24(1):20-22. doi: 10.1016/j.jccase.2020.11.021. eCollection 2021 Jul.

Authors

Soichiro Henmi¹, Hidekazu Nakai¹, Katsuhiro Yamanaka¹, Atsushi Omura¹, Takeshi Inoue¹, Kenji Okada¹

Affiliation

¹ Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Kobe 650-0017, Japan.

Abstract

An impending paradoxical embolism (IPDE) is seldom observed in clinical practice. We report a case of IPDE in a 67-year-old female with severe dyspnea and hypotension, which was detected and successfully treated with emergent cardiac surgery. The optimal treatment is still controversial. We believe that emergent surgery always should be considered in patients with IPDE. <Learning objective: We report a rare case of an impending paradoxical embolism in a 67-year-old female with severe dyspnea, which was successfully treated with emergent cardiac surgery. An emergent open surgery always should be considered in patients with impending paradoxical embolism.>.

Keywords: Impending paradoxical embolism; Patent foramen ovale; Pulmonary thromboembolism.

Publication types

Case Reports