Thrombus in transit through a patent foramen ovale

Abdelsalam, Murad; Mumtaz, Mubashir; Sackman, Ira

doi:10.1136/heartjnl-2012-301659

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…The negative bubble test in our patient cannot rule out the possibility that the thrombus we observed was just slipping through a PFO . Usually, such thrombi are documented straddling the PFO, with their head in the left atrium and their tail in the right atrium.…”

Section: Discussionmentioning

confidence: 70%

“…The negative bubble test in our patient cannot rule out the possibility that the thrombus we observed was just slipping through a PFO. 7,8 Usually, such thrombi are documented straddling the PFO, with their head in the left atrium and their tail in the right atrium. It is possible, however, that the tail had already broken off and embolized to the pulmonary circulation when the first echocardiogram was recorded.…”

Section: Discussionmentioning

confidence: 99%

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Thrombus in the left atrial septal pouch mimicking myxoma

Shimamoto¹,

Kawagoe²,

Dai³

et al. 2013

J of Clinical Ultrasound

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A 15 3 13 mm mobile ovoid mass attached via a 15 3 5 mm stalk to the interatrial septum in the left atrium was detected on transesophageal echocardiography and was diagnosed as a myxoma in a 70-year-old woman with chronic atrial fibrillation. She was prescribed anticoagulant therapy with warfarin before elective cardiac surgery and demonstrated no thromboembolic event during a 2.5-month period. Preoperative transesophageal echocardiography showed the disappearance of the intracardiac mass and the presence of a left atrial septal pouch, suggesting that the initial image was a thrombus originating from the left atrial septal pouch.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Thrombus in the left atrial septal pouch mimicking myxoma

Shimamoto¹,

Kawagoe²,

Dai³

et al. 2013

J of Clinical Ultrasound

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“…1 Paradoxical embolism is a rare finding, with only 13 cases published in the past 5 years (Table ). [2][3][4][5][6][7][8][9][10][11][12] Sequelae include pulmonary embolism and stroke, often with devastating outcomes. Management remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Paradoxical Thrombus ‘Caught in the Act’: Case Report and Review of the Literature

Sultan

Allen

Sharif

et al. 2017

The American Journal of Medicine

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“…One article is a review of the literature [ 2 ]. Two cases were reported as images [ 6 ]. All patients were anticoagulated with unfractionated heparin (UH) and then discharged on long-term anticoagulation (warfarin).…”

Section: Discussionmentioning

confidence: 99%

Thrombus in Transit through Patent Foramen Ovale

Baydoun

Barakat

Hatem

et al. 2013

Case Reports in Cardiology

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A thrombus in transit through a patent foramen ovale (PFO) with impending paradoxical embolism is an extremely rare event. Due to its transient nature, it is unable to identify the thrombus, and most of the cases have been reported at autopsy. We are reporting a case of thrombus straddling the foramen ovale which was diagnosed by echocardiography and treated surgically. Through this personal case, an exhaustive review of the literature was performed. There were 88 cases reported. We concluded that there is no medical consensus about the best option for treatment. Nevertheless, surgery, which is associated with fewer complications of recurrent embolic events than those of thrombolysis and anticoagulation, appeared to be the best approach in patients who are not at a high surgical risk. Anticoagulant treatment appears to be an acceptable therapeutic alternative to surgery, particularly in patients with comorbidities who are at high surgical risk and for patients with small PFO. Thrombolysis is linked to the highest mortality, which could be explained by the severity of the patient's initial presentation. In conclusion, and after the cumulative effects of these case reports, we propose a diagram consisting of the use of the three therapeutic options in the different clinical scenarios.

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Thrombus in transit through a patent foramen ovale

Cited by 4 publications

References 2 publications

Thrombus in the left atrial septal pouch mimicking myxoma

Thrombus in the left atrial septal pouch mimicking myxoma

Paradoxical Thrombus ‘Caught in the Act’: Case Report and Review of the Literature

Thrombus in Transit through Patent Foramen Ovale

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