Nicholas, SuraciShifman, MonicaKumar, AnnaditaHaskeNicholasx, MichaelShifman, MonicaKumar, AnnaditaHaske, Michael2023-07-142023-07-142022-12Nicholas Suraci, Shifman Monica, Kumar Annadita, HaskeNicholasx Michael, Shifman Monica, Kumar Annadita, Haske Michael. Active Paradoxical and Pulmonary Emboli in a First Trimester Pregnancy. Annals of Cardiac Anaesthesia. 2022 Dec; 25(4): 514-5170974-51810971-9784http://imsear.searo.who.int/handle/123456789/219265Capturing 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.Bypasscardiopulmonaryechocardiographypatent foramen ovalethrombusJournal ArticleIndiaDepartment of Anesthesiology, Loyola University Medical Center, Maywood, IL, USA