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- Patent foramen ovale
- transoesophageal echocardiogram
- paradoxical embolism
- venous thromboembolism
An obese 57-year-old woman presented to the emergency department with shortness of breath and palpitation that had been present for 1 day. On physical examination, the patient was noted to have rapid atrial fibrillation with a heart rate of about 178 bpm; her …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.