Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery.

@article{Nellessen1985ImpendingPE,
  title={Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery.},
  author={Ulrich Nellessen and Werner Guenther Daniel and G. Matheis and Hellmut Oelert and K Depping and Paul Robert Lichtlen},
  journal={Journal of the American College of Cardiology},
  year={1985},
  volume={5 4},
  pages={1002-4}
}
During recovery from a posterolateral myocardial infarction, a 56 year old patient developed signs of deep vein thrombophlebitis and subsequently of pulmonary embolism. After conventional echocardiography showed masses in both atria, transesophageal two-dimensional echocardiography clearly revealed an elongated mass overriding an atrial septal defect. Impending paradoxical embolism was confirmed at surgery. 

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