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Case Reports
. 2020 Aug;38(8):1701.e1-1701.e2.
doi: 10.1016/j.ajem.2020.04.088. Epub 2020 May 4.

Cardiopulmonary resuscitation may cause paradoxical embolism

Sun Ju Kim  1 , Yunseob Kim  1 , Kyo Jin Ahn  1 , Sung Oh Hwang  2
Affiliations
Case Reports

Cardiopulmonary resuscitation may cause paradoxical embolism

Sun Ju Kim et al. Am J Emerg Med. 2020 Aug.

Abstract

This paper reports a case of paradoxical embolism of right heart thrombi visualized on transesophageal echocardiography during cardiopulmonary resuscitation (CPR). CPR may cause a right-to-left shunt by producing a sudden increase in right atrial pressure during the compression phase. In cardiac arrest patients with right heart thrombi who have received CPR, systemic embolization can occur owing to paradoxical embolism.

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Conflict of interest statement

Declaration of competing interest All authors have no conflicts of interest to disclosure.

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