{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:15Z","timestamp":1787758455510,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>ABSTRACT<\/jats:title>\n                    <jats:p>Capturing a paradoxical embolism in real-time has been a challenge in recent literature. We present the unique case of a 33-year-old, G3P2 female at 8 weeks gestation presenting with dyspnea. An active thrombus through an undiagnosed patent foramen ovale was found requiring emergent surgical intervention with a positive outcome. The presence of a deep vein thrombosis, inferior vena caval thrombus, patent foramen ovale, and pulmonary artery thrombi was contemporarily documented. To our knowledge, there is minimal literature with this presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_296_20","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T10:50:57Z","timestamp":1665139857000},"page":"514-517","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Active Paradoxical and Pulmonary Emboli in a First Trimester Pregnancy"],"prefix":"10.4103","volume":"25","author":[{"given":"Nicholas","family":"Suraci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Shifman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annadita","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Haske","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20-20240901","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.ccm.2018.04.007","article-title":"Pregnancy and pulmonary embolism","volume":"39","author":"Dado","year":"2018","journal-title":"Clin Chest Med"},{"key":"R2-20-20240901","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1136\/jim-2016-000103","article-title":"Patent foramen ovale (PFO), stroke and pregnancy","volume":"64","author":"Chen","year":"2016","journal-title":"J Investig Med"},{"key":"R3-20-20240901","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1378\/chest.09-0961","article-title":"A Impending paradoxical embolism: Systematic review of prognostic factors and treatment","volume":"137","author":"Myers","year":"2010","journal-title":"CHEST"},{"key":"R4-20-20240901","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1111\/echo.12462","article-title":"Diagnostic accuracy of transesophageal echocardiogram for the detection of patent foramen ovale: A meta-analysis","volume":"31","author":"Mojadidi","year":"2013","journal-title":"Echocardiography"},{"key":"R5-20-20240901","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S0003-4975(10)60486-9","article-title":"Intracardiac surgery in pregnant women","volume":"36","author":"Becker","year":"1983","journal-title":"Ann Thorac Surg"},{"key":"R6-20-20240901","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1067\/mtc.2000.108902","article-title":"Better preservation of endothelial function and decreased activation of the fetal renin-angiotensin pathway with the use of pulsatile flow during experimental fetal bypass","volume":"120","author":"Vedrinne","year":"2000","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R7-20-20240901","first-page":"313","article-title":"Surface cooling and rewarming the fetus: A technique for experimental fetal cardiac surgery","volume":"35","author":"Adzick","year":"1984","journal-title":"Surg Forum"},{"key":"R8-20-20240901","doi-asserted-by":"crossref","first-page":"362","DOI":"10.4103\/aca.ACA_120_19","article-title":"Thrombus in transit across a patent foramen ovale in a patient with cerebrovascular accidents, pulmonary embolism, and deep vein thrombosis","volume":"24","author":"Suraci","year":"2019","journal-title":"Ann Card Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_296_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:16:52Z","timestamp":1787757412000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_296_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_296_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}