Intracardiac thrombus trapped in a patent foramen ovale: a case report

Lc, Maroto; Molina, L; Carrascal, Yolanda; Jj, Rufilanchas

doi:10.1016/s1010-7940(97)00106-1

Cited by 19 publications

(11 citation statements)

References 25 publications

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“…The recommended treatment for an entrapped trombus in PFO is surgical embolectomy [10] but the patient did not accept surgical procedure and we administered heparin. Unfortunately, after anticoagulation our patient experienced brachial embolic event.…”

Section: Discussionmentioning

confidence: 99%

Thrombus crossing through a patent foramen ovale

Özdoğru

Kaya

Doğan

et al. 2009

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Thrombus crossing through a patent foramen ovale

Özdoğru

Kaya

Doğan

et al. 2009

International Journal of Cardiology

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“…2,4,8,[15][16][17]20,21,[29][30][31][32][33][35][36][37]40,41,43,44 Isolated systemic embolus is rare, with only six (12.7%) known cases, 14,23,26,39,42,46 even though echocardiography is generally performed after any stroke or distal acute ischemic event. This could be because a high right atrial pressure is necessary to extrude a thrombus through the interatrial shunt.…”

Section: Clinical Patternsmentioning

confidence: 99%

Massive Pulmonary Embolism Complicated by a Patent Foramen Ovale with Straddling Thrombus: Report of a Case

et al. 2006

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We report a case of massive right pulmonary embolism with a patent foramen ovale and straddling thrombus, occurring a few days after cesarean section in a 31-year-old woman. Preoperatively, a mass was seen echocardiographically in four cardiac cavities. We performed emergency surgery because of the patient's acute hemodynamic deterioration. Intraoperatively, we found a thrombus entrapped in the patent foramen ovale. Most of the thrombus was floating in the right atrium and a long end was found in the left atrium, in addition to the pulmonary emboli. We removed the thrombus, closed the patent foramen ovale by direct suturing, and performed pulmonary embolectomy. Histological examination confirmed thrombi. Doppler examination of the venous system did not reveal any possible source of the thrombus. The patient is now well and free from recurrence of embolic disease 1 year after surgery. We review the literature on this relatively unusual thromboembolic disease.

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“…Paradoxical embolus is defined as the entry of an embolus originating from a venous thrombus into the systemic circulation, potentially leading to acute ischemic manifestations. 1 An embolus that is entrapped or arrested in the atrial septum is referred to as a thrombus in transit or impending paradoxical embolism (IPE). 2 Paradoxical emboli were first described by Cohnheim in 1877 and account for approximately 2% of all arterial thrombi.…”

Section: Introductionmentioning

confidence: 99%

“…2 Paradoxical emboli were first described by Cohnheim in 1877 and account for approximately 2% of all arterial thrombi. 1,3 IPE was first identified on transesophageal echocardiography (TEE) in 1985, 2 with an estimated in-hospital mortality exceeding 45%. 4 In this article, we review the perioperative management of IPE in the context of underlying acute pulmonary embolism (PE).…”

Section: Introductionmentioning

confidence: 99%

Impending Paradoxical Embolism: Perioperative Management and Role of Transesophageal Echocardiography

Dabaliz

Arain

2020

Semin Cardiothorac Vasc Anesth

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Impending paradoxical embolism is a rare but potentially life-threatening complication of venous thromboembolism that is usually associated with acute pulmonary embolism and a right to left atrial shunt. Patients may have associated right ventricular pressure or volume overload with subsequent failure. Transesophageal echocardiography is the preferred diagnostic test of choice in this patient group. Definitive management has yet to be clearly defined. However, emergent surgical removal of the entrapped intracardiac blood thrombus may be necessary. In this article, we review a case of impending paradoxical embolism managed surgically and describe the perioperative anesthetic considerations in this patient population, along with the role of intraoperative transesophageal echocardiography.

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Intracardiac thrombus trapped in a patent foramen ovale: a case report

Abstract: We describe a case of impending paradoxical embolism due to a thrombus trapped in a patent foramen ovale in a 22-year-old woman. Transthoracic and transesophageal echocardiography detected the thrombus. She was operated on and discharged asymptomatic.

Cited by 19 publications

References 25 publications

Thrombus crossing through a patent foramen ovale

Thrombus crossing through a patent foramen ovale

Massive Pulmonary Embolism Complicated by a Patent Foramen Ovale with Straddling Thrombus: Report of a Case

Impending Paradoxical Embolism: Perioperative Management and Role of Transesophageal Echocardiography

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