case_images: PMC10709079_01
case_images: CT pulmonary angiogram demonstrating bilateral pulmonary emboli with contrast present in the left atrium suggesting PFO.
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case_images: PMC10709079_01_gr1.jpg
case_images: fig1
case_images: Computed Tomography Pulmonary Angiogram (CTPA) identified bilateral pulmonary emboli with a dilated pulmonary artery and evidence of right heart strain (Fig. 1). Restrospective review of his CTPA revealed a patent foramen ovale (PFO) (Fig. 1) and this was later confirmed with a bubble study and trans-oesophageal echocardiogram.
case_images: Pulmonary angiogram demonstrating pouch-like ending of pulmonary artery segments with pre stenotic dilation of the vasculature.
case_images: gr2.jpg
case_images: PMC10709079_01_gr2.jpg
case_images: fig2
case_images: Further investigation with invasive pulmonary angiogram demonstrated pulmonary artery stenosis, occlusion and wedge-shaped perfusion defects (Fig. 2).