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
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. tren125@yuhs.ac

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.

Keyword

Echocardiography; Patent foramen ovale; Pulmonary embolism

MeSH Terms

Aged
Cerebral Infarction
Echocardiography
Female
Foramen Ovale, Patent*
Heart
Humans
Mortality
Pulmonary Embolism*
Thrombosis*
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