Impending paradoxical embolism

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...

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Published inJournal of cardiology cases Vol. 24; no. 1; pp. 20 - 22
Main Authors Henmi, Soichiro, Nakai, Hidekazu, Yamanaka, Katsuhiro, Omura, Atsushi, Inoue, Takeshi, Okada, Kenji
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.07.2021
Japanese College of Cardiology
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ISSN1878-5409
1878-5409
DOI10.1016/j.jccase.2020.11.021

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Summary: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.>
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ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2020.11.021