case_images: PMC9749546_01
case_images: Pulmonary scintigraphy images before anticoagulation showing multiple small
  perfusion defects.
case_images: 10.1177_11795484221141298-fig1.jpg
case_images: PMC9749546_01_10.1177_11795484221141298-fig1.jpg
case_images: fig1-11795484221141298
case_images: Pulmonary scintigraphy (PS) showed presence of bilateral pulmonary embolism, with multiple perfusion defects (Figure 1).
case_images: ASD measurements in 2D and 3D bicaval imaging plan, respectively, by
  transesophageal echocardiogram.
case_images: 10.1177_11795484221141298-fig2.jpg
case_images: PMC9749546_01_10.1177_11795484221141298-fig2.jpg
case_images: fig2-11795484221141298
case_images: Afterwards she was submitted to a transesophageal echocardiogram that confirmed the presence of an ostium secundum atrial septal defect (OS-ASD) (1.86 x 1.34 cm) with bidirectional flux (Figure 2).