Thrombus crossing through a patent foramen ovale

Özdoğru, İbrahіm; Kaya, Mehmet; Doğan, Ali; İnanç, Tuğrul; Yalçin, Arif; Oğuzhan, Abdurrahman

doi:10.1016/j.ijcard.2007.11.007

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…To our knowledge, the treatments of choice in such cases include embolectomy, thrombolysis, or anticoagulation 10 ; however, the best management is still controversial. Anticoagulation and thrombolysis therapy seem to be hazardous in patients with a large thrombus-in-transit within a PFO because of the high risk of either fragmentation or complete embolization.…”

Section: Discussionmentioning

confidence: 99%

Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report

Wang

et al. 2018

J Int Med Res

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ObjectiveA patent foramen ovale (PFO) is detected frequently by echocardiography. However, a thrombus trapped in a PFO is relatively rare. We herein describe a rare case of a 51-year-old patient with pulmonary embolism in which a large thrombus-in-transit through a PFO was found by echocardiography and disappeared after treatment.MethodsA 51-year-old woman presented with a 1-week history of chest tightness, unspecified chest pain, and shortness of breath. Echocardiography revealed a large thrombus trapped in a PFO with increased pulmonary artery pressure, which is a very rare and critical condition.ResultsThe patient was treated with thrombolysis and anticoagulation and discharged from the hospital with an uneventful recovery.ConclusionOur treatment of the present patient achieved a satisfactory result, but it may not be applicable to every patient. Echocardiography is a readily available and safe tool for demonstrating the size, location, and extent of a thrombus, and it plays an important role in the early diagnosis and treatment evaluation for patients with a thrombus trapped in a PFO with concurrent pulmonary embolism.

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Section: Discussionmentioning

confidence: 99%

Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report

Wang

et al. 2018

J Int Med Res

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“…Some previous reports described anticoagulant therapy can be used as an alternative treatment in this condition. 4)12)…”

Section: Discussionmentioning

confidence: 99%

Thrombus in Transit within a Patent Foramen Ovale: Gone with the Cough!

Kim

2011

J Cardiovasc Ultrasound

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Pulmonary embolism and concomitant right atrial thrombus entrapped in a patent foramen ovale (PFO) is a rare, unusual finding in echocardiography. The diagnosis of paradoxical embolism is usually presumptive when PFO is detected by echocardiography. We herein reported a case of a 53-year-old patient presenting with pulmonary embolism in which a thrombusin-transit through a PFO was found and disappeared during transesophageal echocardiography.

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“…Although, TEE provides anatomical details, the movement of a thrombus through the PFO has rarely been observed in real time. 2 Transcranial Doppler (TCD) is a reliable technique and has been reported to be more sensitive and specific than TEE. 3,4 To further strengthen the place of TCD, Jeserum et al 5 have recently shown that migraineurs have a higher TCD grade right-to-left shunt despite similar atrial septal characteristics on intracardiac echocardiography.…”

Section: Diagnostic Strategies For Patent Foramen Ovalementioning

confidence: 99%

“…Moreover, endoscope in the throat affects patients’ ability for performing an adequate valsalva maneuver. Although, TEE provides anatomical details, the movement of a thrombus through the PFO has rarely been observed in real time 2 …”

mentioning

confidence: 99%

Diagnostic Strategies for Patent Foramen Ovale

Sharma

2010

Echocardiography

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Thrombus crossing through a patent foramen ovale

Cited by 6 publications

References 11 publications

Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report

Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report

Thrombus in Transit within a Patent Foramen Ovale: Gone with the Cough!

Diagnostic Strategies for Patent Foramen Ovale

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