Usefulness of Transesophageal Echocardiography in the Diagnosis and Surgical Management of a Paradoxical Embolus Extending Through a Patent Foramen Ovale

Plotkin, Igor M.; Fox, John A.; Aranki, Sary F.; Collard, Charles D.

doi:10.1097/00000539-199705000-00047

Cited by 1 publication

(2 citation statements)

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“…There is no report of a false-positive diagnosis by TTE being corrected by TEE or macroscopic verification. In four patients 16,31,38 only the right part of the thrombus was detected, and in one patient 37 only the left segment of the thrombus was shown by TTE. In our patient, the quality of TTE images was satisfactory and TEE was unnecessary before surgery.…”

Section: Clinical Patternsmentioning

confidence: 94%

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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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Section: Clinical Patternsmentioning

confidence: 94%

“…34 Only 13 (28.2%) of the 46 patients presented with a typical pulmonary and paradoxical embolism. 3,5,6,9,10,12,13,18,24,25,27,28,38 In one patient, although there was entrapped thrombus in the foramen ovale, there was no embolic event. 45 There were no available data for four patients.…”

Section: Clinical Patternsmentioning

confidence: 95%