PMID- 30763556 OWN - NLM STAT- MEDLINE DCOM- 20191121 LR - 20191121 IS - 1552-6259 (Electronic) IS - 0003-4975 (Linking) VI - 108 IP - 2 DP - 2019 Aug TI - Impending Paradoxical Embolism. PG - e73-e75 LID - S0003-4975(19)30188-2 [pii] LID - 10.1016/j.athoracsur.2019.01.011 [doi] AB - Impending paradoxical embolism (IPDE) is the presence of a thrombus in the patent foramen ovale. Usually, IPDE is diagnosed by echocardiography or a multislice computed tomography scan and is performed during the evaluation of a patient presenting with suspected pulmonary embolism. We report 2 patients who presented with IPDE and were successfully treated with cardiac surgery and thrombolytic therapy. Thus, we focus our discussion on the diagnosis and treatment modalities of this rare entity. CI - Copyright (c) 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. FAU - Ma, Xiaojing AU - Ma X AD - Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China. FAU - Song, Laichun AU - Song L AD - Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan University of Science and Technology, Wuhan, P.R. China. FAU - Yang, Hongping AU - Yang H AD - Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China. FAU - Xia, Juan AU - Xia J AD - Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China. FAU - Wu, Chunxia AU - Wu C AD - Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China. FAU - He, Yafeng AU - He Y AD - Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China. Electronic address: drheyafeng@foxmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190211 PL - Netherlands TA - Ann Thorac Surg JT - The Annals of thoracic surgery JID - 15030100R SB - IM MH - Cardiac Surgical Procedures/*methods MH - Echocardiography, Transesophageal MH - Embolism, Paradoxical/diagnosis/etiology/*surgery MH - Female MH - Foramen Ovale, Patent/*complications/diagnosis/surgery MH - Humans MH - Male MH - Middle Aged MH - Multidetector Computed Tomography/methods MH - Pulmonary Embolism/diagnosis/etiology/*surgery EDAT- 2019/02/15 06:00 MHDA- 2019/11/22 06:00 CRDT- 2019/02/15 06:00 PHST- 2018/10/04 00:00 [received] PHST- 2018/12/02 00:00 [revised] PHST- 2019/01/03 00:00 [accepted] PHST- 2019/02/15 06:00 [pubmed] PHST- 2019/11/22 06:00 [medline] PHST- 2019/02/15 06:00 [entrez] AID - S0003-4975(19)30188-2 [pii] AID - 10.1016/j.athoracsur.2019.01.011 [doi] PST - ppublish SO - Ann Thorac Surg. 2019 Aug;108(2):e73-e75. doi: 10.1016/j.athoracsur.2019.01.011. Epub 2019 Feb 11.