European Heart Journal Advance Access originally published online on April 27, 2006
European Heart Journal 2006 27(22):2724; doi:10.1093/eurheartj/ehi895
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Patent foramen ovale with a riding vermicular thrombus causing paradoxical and massive pulmonary embolism
1 Department of Cardiology, Deutsches Herzzentrum München & 1. Medizinische Klinik, Technische Universität München, Munich, Germany
2 Department of Cardiac Surgery, Deutsches Herzzentrum München, Munich, Germany
3 Department of Radiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
* Corresponding author. E-mail address: dirk@sibbing.net
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A 46-year-old adipose woman was admitted to hospital with tachycardia and progressive dyspnoea. The week before hospitalization she collapsed several times and two days before admission she experienced an intermittent motorical weakness of her right hand. Transthoracal echocardiography revealed decreased right ventricular (RV) function, RV