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Semper aliquid haeret: A Paradoxical Embolus lodged in patent foramen ovale


Paula, Pia; Thali, Michael J; Ross, Steffen (2014). Semper aliquid haeret: A Paradoxical Embolus lodged in patent foramen ovale. Journal of Forensic Radiology and Imaging, 2(1):25-27.

Abstract

A case of a 54 year old man with unknown medical history suddenly collapsing with cardiac arrest. Post mortem MRI (PMMR) revealed T1 hyperintense material in the pulmonary trunk, a soft tissue edema of the right lower limb, a T2-hyperintense area in the myocardial septum and a patent foramen ovale (PFO). These imaging findings were confirmed by autopsy, which additionally showed a deep vein thrombosis with consecutive central pulmonary embolism and subacute myocardial ischemia. Autopsy showed also a thrombosis of the of the Left Anterior Descending Artery (LAD). PMMR was able to show thrombotic material lodged in the PFO in situ, which was not depictable in autopsy. The combination of the findings of PMMR and autopsy revealed a massive central pulmonary embolism with a paradoxical embolism through a PFO and consecutive coronary thrombosis.

Abstract

A case of a 54 year old man with unknown medical history suddenly collapsing with cardiac arrest. Post mortem MRI (PMMR) revealed T1 hyperintense material in the pulmonary trunk, a soft tissue edema of the right lower limb, a T2-hyperintense area in the myocardial septum and a patent foramen ovale (PFO). These imaging findings were confirmed by autopsy, which additionally showed a deep vein thrombosis with consecutive central pulmonary embolism and subacute myocardial ischemia. Autopsy showed also a thrombosis of the of the Left Anterior Descending Artery (LAD). PMMR was able to show thrombotic material lodged in the PFO in situ, which was not depictable in autopsy. The combination of the findings of PMMR and autopsy revealed a massive central pulmonary embolism with a paradoxical embolism through a PFO and consecutive coronary thrombosis.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Legal Medicine
Dewey Decimal Classification:340 Law
610 Medicine & health
Language:English
Date:2014
Deposited On:13 Jan 2014 14:31
Last Modified:05 Apr 2016 17:21
Publisher:Elsevier
ISSN:2212-4780
Publisher DOI:https://doi.org/10.1016/j.jofri.2013.12.003

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