PMID- 32046603 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20220531 IS - 0001-5458 (Print) IS - 0001-5458 (Linking) VI - 121 IP - 6 DP - 2021 Dec TI - Impending paradoxical embolism: about two cases. 3D echocardiographic imaging and discussion of treatment options. PG - 445-448 LID - 10.1080/00015458.2020.1728910 [doi] AB - INTRODUCTION: Impending paradoxical embolism (IPDE) is a rare condition where a thrombus straddles the foramen ovale with a high risk of arterial embolism. CASES REPORT: We report two cases of impending paradoxical embolism, an uncommon condition with a high mortality rate. The first in a young woman with acute right heart failure operated emergently, the second, in an old and frail lady presenting an ischemia of the left arm, treated by anticoagulants. 3 D echocardiography imaging is presented and treatment modality is discussed. CONCLUSION: Emergent treatment is mandatory for IPDE, a serious disease with a high early mortality. This paper is a reminder of how to deal with such a rare condition. FAU - El Nakadi, Badih AU - El Nakadi B AD - Department of Cardiothoracic Surgery, CHU Marie Curie, Charleroi, Belgium. FAU - Godefroid, Cecile AU - Godefroid C AD - Department of Cardiology, CHU Marie Curie, Charleroi, Belgium. FAU - De Vuyst, Elke AU - De Vuyst E AD - Department of Cardiology, CHU Marie Curie, Charleroi, Belgium. LA - eng PT - Case Reports PT - Journal Article DEP - 20200217 PL - England TA - Acta Chir Belg JT - Acta chirurgica Belgica JID - 0370571 SB - IM MH - Echocardiography MH - *Echocardiography, Three-Dimensional MH - Echocardiography, Transesophageal MH - *Embolism, Paradoxical/diagnostic imaging/etiology MH - Female MH - *Foramen Ovale, Patent/diagnosis/diagnostic imaging MH - Humans MH - *Pulmonary Embolism OTO - NOTNLM OT - 3D TEE OT - Impending paradoxical embolism OT - straddling thrombus OT - surgical treatment EDAT- 2020/02/13 06:00 MHDA- 2021/11/25 06:00 CRDT- 2020/02/13 06:00 PHST- 2020/02/13 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2020/02/13 06:00 [entrez] AID - 10.1080/00015458.2020.1728910 [pii] AID - 10.1080/00015458.2020.1728910 [doi] PST - ppublish SO - Acta Chir Belg. 2021 Dec;121(6):445-448. doi: 10.1080/00015458.2020.1728910. Epub 2020 Feb 17.