Korean J Anesthesiol.
2015 Feb;68(1):70-73. 10.4097/kjae.2015.68.1.70.
Thrombus entrapped by patent foramen ovale in a patient with pulmonary embolism: a case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. tren125@yuhs.ac
- KMID: 2236192
- DOI: http://doi.org/10.4097/kjae.2015.68.1.70
Abstract
- Thrombus-in-transit appears to increase the risk of mortality compared to pulmonary embolism alone and can require alteration in therapeutic plan. We present the case of a biatrial thromboembolus caught in transit across a patent foramen ovale diagnosed by intraoperative transesophageal echocardiogram in a 69-year-old female with acute pulmonary embolism and subsequent acute cerebral infarction. We suggest that echocardiography should be performed in a patient with suspected pulmonary thromboembolism to evaluate right heart function and diagnose emboli in transit.
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