Canadian Journal of Cardiology
Case Report| Volume 37, ISSUE 8, P1281-1282, August 2021

A Thrombus on a Journey: A Massive Thrombus in Transit With Cerebral, Coronary, and Pulmonary Embolization

Published:November 16, 2020DOI:


      Impending paradoxical embolism is a biatrial thrombus in transit across a patent foramen ovale. It constitutes a rare clinical condition, possibly associated with multiple embolization and high mortality. We report the exceptional case of a 71-year-old-man presenting a giant impending paradoxical thrombus, complicated with pulmonary, cerebral, and coronary embolization. The patient underwent urgent surgery and was finally discharged without complications.


      Le thrombus paradoxal en transit est un thrombus biatrial en transit à travers un foramen ovale perméable ; cette entité constitue une pathologie rare potentiellement associée à des embolisations multiples et à une mortalité élevée. Nous rapportons le cas d’un patient de 71 ans présentant un thrombus paradoxal géant encastré dans un foramen ovale perméable compliqué de multiples embols simultanés au niveau pulmonaire, cérébral et coronaire. Le patient a subi une intervention chirurgicale urgente et a obtenu son congé sans complications.
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