Evidence map›Paper›PMID 38504353›Full record

ArticleJournal of cardiothoracic surgery2024

Successful surgical treatment of impending paradoxical embolism with pulmonary embolism and myocardial infarction.

Yong Liu, Zhiyun Yang, Xinxin Sun, Mei Yang, Tao Zhang, Ruilin Li, Ying Wei, Hao Cao

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Yong LiuDepartment of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Zhiyun YangDepartment of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Xinxin SunDepartment of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Mei YangDepartment of ICU, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Tao ZhangDepartment of ICU, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Ruilin LiDepartment of Cardiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Ying WeiDepartment of Ultrasound in Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Hao CaoDepartment of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China. caohao@tongji.edu.cn.
Shanghai East Hospital · CN

Funding

National Key Research and Development Program of China 2022YFA1104500
6 · The paper itself

Abstract

backgroundParadoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. CASE PRESENTATION: We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation. Swiftly addressed through emergency cardiac surgery and systemic anticoagulation, the patient's condition was effectively treated.

conclusionsWhile the ideal treatment strategy for impending paradoxical embolism remains a topic of debate due to limited and inconclusive evidence, emergent open surgery should be contemplated in patients as it signifies a critical clinical emergency.

Indexed as

Embolism, ParadoxicalForamen Ovale, PatentMyocardial InfarctionPulmonary EmbolismAgedEchocardiography, TransesophagealFemaleHumansCardiac surgeryImpending paradoxical embolismMyocardial infarctionPatent foramen ovalePulmonary embolism

Identifiers

PMID38504353
PMCPMC10949575
OpenAlexW4392964022

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.