Migration of paradoxic embolus through a patnet foramen ovale diagnosed by echocardiography: Successful thrombolysis

Hust, M. H.; Staiger, Matias; Braun, Benjamin

doi:10.1016/0002-8703(95)90295-3

Cited by 28 publications

(15 citation statements)

References 12 publications

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“…11 In support of PFO as a conduit for paradoxical embolization, there are occasional case reports demonstrating venous thrombi trapped in a PFO in patients with central or systemic embolization. [12][13][14] Nevertheless, other possible mechanisms of stroke cannot be excluded. Given that a PFO can be a tunnel-like structure with possibly a stagnant area of flow, in situ thrombus fromation may occur.…”

Section: Cryptogenic Stroke and Pfomentioning

confidence: 99%

Patent Foramen Ovale and Stroke

2005

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Section: Cryptogenic Stroke and Pfomentioning

confidence: 99%

Patent Foramen Ovale and Stroke

2005

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“…From the pathophysiologic standpoint, the passing of a venous thrombus through the PFO from the venous to the arterial circulation seems fascinating, but pathologic and echocardiographic evidence of a venous thrombus trapped in a PFO in stroke patients is anecdotic [20, 21]. Moreover, in most cases a potential venous source of emboli cannot be identified in stroke patients with PFO after an extensive investigation.…”

Section: Pfo and Cryptogenic Stroke: Guilty By Associationmentioning

confidence: 99%

Cryptogenic Stroke, Aortic Arch Atheroma and Patent Foramen Ovale

Molina

Santamarina²,

Álvarez-Sabín³

2007

Cerebrovasc Dis

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Cryptogenic stroke represents a diagnostic challenge. Several conditions have been found to be more frequent in patients with cryptogenic stroke. Aortic arch atheroma (AAA) and patent foramen ovale (PFO) have been shown to be highly prevalent in the adult population, especially in patients with ischemic cerebrovascular events, particularly cryptogenic strokes. In both conditions, clinical relevance and stroke risk are related to age, with AAA being more frequent and severer in patients >55 years, and the relationship between stroke and PFO being stronger in those <55 years of age. This review is focused on the prevalence, risk of stroke and therapeutic strategies in patients with cryptogenic stroke related to AAA or PFO.

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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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Migration of paradoxic embolus through a patnet foramen ovale diagnosed by echocardiography: Successful thrombolysis

Cited by 28 publications

References 12 publications

Patent Foramen Ovale and Stroke

Patent Foramen Ovale and Stroke

Cryptogenic Stroke, Aortic Arch Atheroma and Patent Foramen Ovale

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

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