Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism

Pulmonary embolism (PE) is a relatively common cardiovascular disorder with high early mortality rates, despite advances in diagnosis and treatment. The risk of mortality is quite high in case the diagnosis is missed. High clinical suspicion is crucial in the diagnosis, more so in the young. Rarely,...

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Main Authors: Raj Kumar, Rahul Mehrotra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:https://journals.lww.com/10.4103/jiae.jiae_31_24
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author Raj Kumar
Rahul Mehrotra
author_facet Raj Kumar
Rahul Mehrotra
author_sort Raj Kumar
collection DOAJ
description Pulmonary embolism (PE) is a relatively common cardiovascular disorder with high early mortality rates, despite advances in diagnosis and treatment. The risk of mortality is quite high in case the diagnosis is missed. High clinical suspicion is crucial in the diagnosis, more so in the young. Rarely, systemic embolism can occur in a patient with PE through a preexisting patent foramen ovale (PFO) (paradoxical embolism). Paradoxical embolism is associated with very high mortality rates. We report the case of a 31-year-old male, who was diagnosed with massive PE by echocardiography along with a thrombus-in-transit, trapped in a PFO, but without systemic embolization.
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publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
spelling doaj-art-3ca05a13ffa44f3e914bebbc15b3aa5b2025-01-12T10:20:18ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712024-11-018319519710.4103/jiae.jiae_31_24Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical EmbolismRaj KumarRahul MehrotraPulmonary embolism (PE) is a relatively common cardiovascular disorder with high early mortality rates, despite advances in diagnosis and treatment. The risk of mortality is quite high in case the diagnosis is missed. High clinical suspicion is crucial in the diagnosis, more so in the young. Rarely, systemic embolism can occur in a patient with PE through a preexisting patent foramen ovale (PFO) (paradoxical embolism). Paradoxical embolism is associated with very high mortality rates. We report the case of a 31-year-old male, who was diagnosed with massive PE by echocardiography along with a thrombus-in-transit, trapped in a PFO, but without systemic embolization.https://journals.lww.com/10.4103/jiae.jiae_31_24paradoxical embolismpatent foramen ovalepulmonary embolism
spellingShingle Raj Kumar
Rahul Mehrotra
Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
paradoxical embolism
patent foramen ovale
pulmonary embolism
title Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
title_full Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
title_fullStr Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
title_full_unstemmed Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
title_short Almost a Double Whammy! Acute Pulmonary Embolism and an Impending Paradoxical Embolism
title_sort almost a double whammy acute pulmonary embolism and an impending paradoxical embolism
topic paradoxical embolism
patent foramen ovale
pulmonary embolism
url https://journals.lww.com/10.4103/jiae.jiae_31_24
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AT rahulmehrotra almostadoublewhammyacutepulmonaryembolismandanimpendingparadoxicalembolism