Giant intracardiac thrombus-in-transit in a woman with sudden respiratory-haemodynamic compromise following cesarean section for eclampsia: a case report.

ABSTRACT:

Background

Intracardiac thrombus-in-transit is a potentially fatal condition, seldom detected in real time.

Case summary

We present a case of a 30-year-old pregnant woman with thalassemia intermedia and asplenia, who experienced a combined respiratory-haemodynamic collapse following an emergent caesarean section performed for eclampsia, and in whom a large mass transversing a patent foramen ovale was observed on bedside echocardiography. In view of the patient's unstable condition, mass' size and location as well as accompanying inter-atrial communication-all of which contributed to an imminent threat to cerebral circulation-and temporal proximity to abdominal surgery and epidural anaesthesia, an immediate open-heart surgery was decided upon that included mass excision and p

SUBMITTER: Morelli O 

PROVIDER: S-EPMC11971474 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature