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Anesth Analg 2002;95:1569-1571
© 2002 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Arrested Paradoxical Emboli in Transit Diagnosed by Intraoperative Transesophageal Echocardiography

Edwin G. Avery, MD*, and Thomas E. MacGillivray, MD{dagger}

*Department of Anesthesia and Critical Care, Division of Cardiothoracic Anesthesia, and {dagger}Surgery, Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston Supplemental material available at www.anesthesia-analgesia.org

Address correspondence and reprint requests to Edwin G. Avery, MD, Massachusetts General Hospital, Department of Anesthesia and Critical Care-Clinics 3, 55 Fruit St., Boston, MA 02114. Address e-mail to EAVERY{at}PARTNERS.ORG

IMPLICATIONS:We describe a patient who developed a deep venous thrombosis that subsequently embolized to both the pulmonary and systemic arterial circulations. The diagnosis of arrested paradoxical embolus in transit at two separate and unique anatomic locations was made with intraoperative transesophageal echocardiography, and the patient did not suffer organ damage as a result of the paradoxical emboli.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.