{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T05:41:01Z","timestamp":1696311661711},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,12,24]],"date-time":"2013-12-24T00:00:00Z","timestamp":1387843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:p>Paradoxical embolism due to extracardiac right to left shunts (<jats:styled-content style=\"fixed-case\">RLS<\/jats:styled-content>s) manifesting as stroke remains anecdotal. We describe a case of 63\u2010year\u2010old female who presented with a transient ischemic attack and at agitated saline contrast echocardiogram was found to have an unusual type of an extracardiac <jats:styled-content style=\"fixed-case\">RLS<\/jats:styled-content>. Further evaluation leads to diagnosis of superior vena cava (<jats:styled-content style=\"fixed-case\">SVC<\/jats:styled-content>) thrombosis from a prior indwelling central venous catheter. The <jats:styled-content style=\"fixed-case\">SVC<\/jats:styled-content> thrombosis induced systemic\u2010pulmonary venous collaterals were responsible for this unusual extracardiac <jats:styled-content style=\"fixed-case\">RLS<\/jats:styled-content> and paradoxical transient ischemic attack. We discuss the diagnosis and management of this rare clinical case<jats:bold>.<\/jats:bold><\/jats:p>","DOI":"10.1111\/echo.12408","type":"journal-article","created":{"date-parts":[[2013,12,24]],"date-time":"2013-12-24T05:56:50Z","timestamp":1387864610000},"source":"Crossref","is-referenced-by-count":3,"title":["Case of Paradoxical Embolic Transient Ischemic Attack from an Unusual Extra Cardiac Shunt Detected on a Contrast\u2010Enhanced Echocardiogram"],"prefix":"10.1111","volume":"31","author":[{"given":"Mujeeb","family":"Sheikh","sequence":"first","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Medicine University of Toledo Health Sciences Campus Toledo Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Emery","sequence":"additional","affiliation":[{"name":"Department of Cardiology St Luke's Hospital Maumee Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Curtis","sequence":"additional","affiliation":[{"name":"Department of Cardiology St Luke's Hospital Maumee Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacie","family":"King","sequence":"additional","affiliation":[{"name":"Department of Cardiology St Luke's Hospital Maumee Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William R.","family":"Colyer","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Medicine University of Toledo Health Sciences Campus Toledo Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,24]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2008.00741.x"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euje.2007.03.006"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2005.08.067"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.10.1941"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.112682"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1985.3.5.710"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6569.2010.00568.x"},{"key":"e_1_2_4_9_1","first-page":"170","article-title":"Superior vena cava thrombosis and paradoxical embolic stroke due to collateral drainage from the brachiocephalic vein to the left atrium","volume":"38","author":"Nascimbene A","year":"2011","journal-title":"Tex Heart Inst J"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.138.4.754"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.127.2.247"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.12408","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.12408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T13:01:03Z","timestamp":1696251663000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.12408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,24]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,2]]}},"alternative-id":["10.1111\/echo.12408"],"URL":"https:\/\/doi.org\/10.1111\/echo.12408","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,24]]}}}