Pulmonary thromboembolism along with an impending paradoxical embolism across patent foramen ovale

  • Rajesh VijayvergiyaEmail author
  • Kewal Kanabar
  • Sudhanshu Budakoty
  • Vivek Guleria
  • Navjyot Kaur
  • Anupam Lal
Case image in cardiovascular ultrasound


Author contributions

RV was involved in concept/design, data collection, critical revision and approval of the article. KK was involved in drafting the article and revising the article for important intellectual content. SB was involved in data collection and drafting the article. VG, NK, and AL were involved in data collection.


No funding was obtained for this study.

Compliance with ethical standards

Conflict of interest

Rajesh Vijayvergiya, Kewal Kanabar, Sudhanshu Budakoty, Vivek Guleria, Navjyot Kaur, and Anupam Lal declare that they have no conflict to interest.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from all patients for being included in the study.

Supplementary material

Video 1 Modified mid-transesophageal echocardiogram showed a large thrombus in the right atrium (yellow arrow), extending into the left atrium (red arrow) through a patent foramen ovale. LA = Left atrium; RA = Right atrium (AVI 6311 kb)


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    Mintz R, Brody K. Impending paradoxical embolism: a case report. J Emerg Med. 2013;45(1):19–21.CrossRefPubMedGoogle Scholar
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    Najib K, Heckle M, Goubran S, et al. Paradoxical emboli following a pulmonary embolus in the presence of a patent foramen ovale. Ann Transl Med. 2018;6(1):21.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Japanese Society of Echocardiography 2019

Authors and Affiliations

  1. 1.Department of Cardiology, Advanced Cardiac CentrePostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of Radio-DiagnosisPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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