Embolus entrapped in patent foramen ovale: impending paradoxical embolism
Language English Country Netherlands Media print-electronic
Document type Case Reports, Journal Article, Research Support, Non-U.S. Gov't
PubMed
25468129
DOI
10.1016/j.athoracsur.2014.08.072
PII: S0003-4975(14)01806-2
Knihovny.cz E-resources
- MeSH
- Diagnosis, Differential MeSH
- Echocardiography, Transesophageal MeSH
- Echocardiography, Three-Dimensional MeSH
- Foramen Ovale, Patent complications diagnosis surgery MeSH
- Cardiac Surgical Procedures methods MeSH
- Humans MeSH
- Embolism, Paradoxical complications diagnosis surgery MeSH
- Tomography, X-Ray Computed MeSH
- Aged MeSH
- Thrombectomy methods MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
An impending paradoxical embolism is a rare finding, with fewer than 200 cases being documented so far. A 68-year-old woman, who presented with 3 weeks of increasing exertional dyspnea and exercise intolerance, underwent transesophageal echocardiography with a finding of an embolus in both right and left atria. At an emergent cardiac surgery, a worm-shaped, 5-cm-long thrombus was found in the right atrium, it was protruding to left atrium through the foramen ovale. The thrombus was removed intact, and the foramen ovale was closed. By our experience, an emergent cardiac surgery should always be considered as a treatment option for impending paradoxical embolism.
Center of Cardiovascular Surgery and Organ Transplantation Brno Czech Republic
International Clinical Research Center Brno Czech Republic
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