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Treacherous Travelers: Emboli

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Presentation on theme: "Treacherous Travelers: Emboli"— Presentation transcript:

1 Treacherous Travelers: Emboli
Scott J. Cameron, MD, PhD, Elixabeth Laskurain, MD, Katarzyna Holcman, MD, J. Franklin Richeson, MD, Hanna Mieszczanska, MD  The American Journal of Medicine  Volume 128, Issue 7, Pages (July 2015) DOI: /j.amjmed Copyright © 2015 Elsevier Inc. Terms and Conditions

2 Figure 1 An electrocardiogram obtained on presentation showed a right bundle branch block, pathologic Q waves in leads III and aVF, and deep anterior T-wave inversions. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

3 Figure 2 Computed tomography of the chest with contrast demonstrated a right main pulmonary artery filling defect (arrowhead) consistent with a large thrombus. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

4 Figure 3 Transesophageal echocardiography provided a bicaval view of the heart. (A) The arrowhead by Doppler flow velocity indicates flow acceleration (red arrowhead) from RA to LA through a patent foramen ovale (white arrow). (B) After injection into a right upper-extremity intravenous line, saline contrast, in the form of bubbles (red arrowhead), appeared after 1 heartbeat in the LA. LA = left atrium; PFO = patent foramen ovale; RA = right atrium. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

5 Figure 4 Possible mechanisms for simultaneous pulmonary embolus (PE) and ischemic cerebrovascular accident (CVA) are illustrated. LH = left heart; RH = right heart. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions


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