A traveler in transit: A case of an impending thrombus entrapped in a patent foramen ovale

Citarella, Angelo; Boulemden, Anas; Nadarajah, Dharsicka; Apicella, Giulia; Mahmoud, Amr; Shanmuganathan, Selvaraj

doi:10.1111/jocs.14224

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Em uma análise sistêmica, a trombectomia cirúrgica foi associada a uma mortalidade de 30 dias de 10,8%, significativamente mais baixa se comparada à trombólise (26,3%) e à anticoagulação (25,6%). 9 As diretrizes recomendam o uso de trombolíticos direcionados por cateter em EP de risco intermediário a alto e o uso de trombectomia direcionada por cateter em pacientes com contraindicações absolutas a trombolíticos ou terapia trombolítica fracassada. Entre as abordagens percutâneas que foram usadas separadamente ou em combinações em pacientes com contraindicação absoluta à trombólise estão: trombectomia por aspiração e fragmentação do trombo, trombectomia reolítica, embolectomia por sucção, e trombólise assistida por ecocardiograma.…”

Section: Stefan Et Alunclassified

Uma Luta Passo a Passo pela Vida em uma Jovem com Embolismo Pulmonar de Alto Risco e Oclusão Bilateral da Artéria Renal

Stefan¹,

Rimbaş²,

Vornicu³

et al. 2022

Arquivos Brasileiros De Cardiologia

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Section: Stefan Et Alunclassified

Uma Luta Passo a Passo pela Vida em uma Jovem com Embolismo Pulmonar de Alto Risco e Oclusão Bilateral da Artéria Renal

Stefan¹,

Rimbaş²,

Vornicu³

et al. 2022

Arquivos Brasileiros De Cardiologia

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“…Thrombus across PFO, also referred to as a pending paradoxical embolus, is considered a rare disorder though the number of reports describing it is increasing. [61][62][63][64][65][66][67][68][69] Paradoxical emboli pass from the venous system into the systemic circulation through intracardiac or intrapulmonary shunts, leading to ischemic stroke, myocardial infarction, and ischemic injury of intestines, kidneys, and limbs. Emboli may sometimes become entrapped in PFO.…”

Section: Right Atrial Thrombus In Structurally Abnormal Heartmentioning

confidence: 99%

Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review

Anfinogenova

Vasiltseva

Vrublevsky

et al. 2020

Semin Thromb Hemost

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Prompt diagnosis of pulmonary embolism (PE) remains challenging, which often results in a delayed or inappropriate treatment of this life-threatening condition. Mobile thrombus in the right cardiac chambers is a neglected cause of PE. It poses an immediate risk to life and is associated with an unfavorable outcome and high mortality. Thrombus residing in the right atrial appendage (RAA) is an underestimated cause of PE, especially in patients with atrial fibrillation. This article reviews achievements and challenges of detection and management of the right atrial thrombus with emphasis on RAA thrombus. The capabilities of transthoracic and transesophageal echocardiography and advantages of three-dimensional and two-dimensional echocardiography are reviewed. Strengths of cardiac magnetic resonance imaging (CMR), computed tomography, and cardiac ventriculography are summarized. We suggest that a targeted search for RAA thrombus is necessary in high-risk patients with PE and atrial fibrillation using transesophageal echocardiography and/or CMR when available independently on the duration of the disease. High-risk patients may also benefit from transthoracic echocardiography with right parasternal approach. The examination of high-risk patients should involve compression ultrasonography of lower extremity veins along with the above-mentioned technologies. Algorithms for RAA thrombus risk assessment and protocols aimed at identification of patients with RAA thrombosis, who will potentially benefit from treatment, are warranted. The development of treatment protocols specific for the diverse populations of patients with right cardiac thrombosis is important.

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“…Descriptions of IVC filter placement and retrieval in patients with anatomical variants are scattered throughout the literature. 6 Such studies have been reported of patients with IVC duplication, 7 , 8 , 9 , 10 IVC transposition, 11 patent foramen ovale, 12 , 13 , 14 , 15 , 16 atrial septal defects, 17 and patent ductus venosus. 18 To the best of our knowledge, no cases of IVC filter placement and removal in a patient with dextro-TGA have been described.…”

mentioning

confidence: 99%

A baffling case of inferior vena cava filter removal in a patient with transposition of the great arteries

Mann,

Wall,

Casella

et al. 2024

Journal of Vascular Surgery Cases, Innovations and Techniques

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A traveler in transit: A case of an impending thrombus entrapped in a patent foramen ovale

Cited by 5 publications

References 4 publications

Uma Luta Passo a Passo pela Vida em uma Jovem com Embolismo Pulmonar de Alto Risco e Oclusão Bilateral da Artéria Renal

Uma Luta Passo a Passo pela Vida em uma Jovem com Embolismo Pulmonar de Alto Risco e Oclusão Bilateral da Artéria Renal

Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review

A baffling case of inferior vena cava filter removal in a patient with transposition of the great arteries

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