Thrombus crossing through a patent foramen ovale

International Journal of Cardiology
Ibrahim OzdogruAbdurrahman Oguzhan

Abstract

Paradoxical embolism across a patent foramen ovale (PFO) is a rare clinical entity and the thrombus is rarely caught passing through a PFO. A 65-year-old woman presented with dyspnea and pleuritic chest pain. Lower extremity venous Doppler ultrasound showed bilaterally extensive thrombosis at deep veins. Transthoracic echocardiographic examination showed two masses in both left and right atriums. In transesophageal echocardiography (TEE) interatrial septum was thin and aneurysmatic and a thrombus wedged through a patent foramen ovale and lodged in both atriums was demonstrated. We considered this mass as a thrombus crossing through a patent foramen ovale. He refused surgery and during anticoagulation therapy the patient had brachial artery embolism. Embolectomy material was reported as a thrombus.

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Citations

Apr 13, 2010·Echocardiography·Vijay K Sharma
Jan 19, 2011·Arquivos de neuro-psiquiatria·Prakash R Paliwal, Vijay K Sharma
Jan 20, 2012·Journal of cardiovascular ultrasound·Ji-Hyun Kim, Yong-Jin Kim
Aug 9, 2018·The Journal of International Medical Research·Changhong LuXiuxiu Fu

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