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- W2144366556 abstract "-inA paradoxical embolism is an infrequent event in which a venous thrombus breaks free and migrates across a communication between the right and left heart to cause an embolic arterial event. 1 Given the transient nature of this phenomenon, paradoxical embolism is almost always a presumptive diagnosis. Transthoracic and/or transesophageal echocardiography (TEE) are standard in the workup of systemic ischemic events to exclude a cardioembolic source. Although cardioembolic events arise most commonly from left heart or aortic sources, rare cases of a thrombus-in-transit crossing an intra-atrial communication have been reported. 1-5 The appropriate treatment of patients in this setting is unclear and the use of newer diagnostic imaging modalities has not been reported. In this report, we describe two cases of thrombus-in-transit diagnosed with TEE, one in which multislice computed tomographic (CT) angiography additionally revealed the diagnosis and impacted management. In addition, we review the available literature on the management of this rare entity." @default.
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- W2144366556 date "2007-10-01" @default.
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- W2144366556 title "Thrombus-in-transit: Two Cases and a Review of Diagnosis and Management" @default.
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- W2144366556 doi "https://doi.org/10.1016/j.echo.2007.01.041" @default.
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