Paradoxical embolism
- PMID: 25060377
- DOI: 10.1016/j.jacc.2014.04.063
Paradoxical embolism
Abstract
Paradoxical embolism is an important clinical entity among patients with venous thromboembolism in the presence of intracardiac or pulmonary shunts. The clinical presentation is diverse and potentially life-threatening. Although the serious nature and complications of paradoxical embolism are recognized, the disease entity is still rarely considered and remains under-reported. This paper provides an overview on the different clinical manifestations of paradoxical embolism, describes the diagnostic tools for the detection of intracardiac and pulmonary shunts, reviews therapeutic options, and summarizes guideline recommendations for the secondary prevention of paradoxical embolism.
Keywords: embolism; paradoxical; patent foramen ovale; stroke.
Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Comment in
-
Patent foramen ovale and paradoxical systemic embolism: can we determine high-risk characteristics by echocardiography?J Am Coll Cardiol. 2015 Jan 20;65(2):221-2. doi: 10.1016/j.jacc.2014.09.082. J Am Coll Cardiol. 2015. PMID: 25593069 No abstract available.
-
Reply: patent foramen ovale and paradoxical systemic embolism: can we determine high-risk characteristics by echocardiography?J Am Coll Cardiol. 2015 Jan 20;65(2):223. doi: 10.1016/j.jacc.2014.10.033. J Am Coll Cardiol. 2015. PMID: 25593070 No abstract available.