Case report: Thrombus in transit-a cause of impending paradoxical embolism.

ABSTRACT:

Background

A thrombus in transit (TIT) is a life-threatening condition associated with pulmonary embolism (PE). While TIT was once considered a rare diagnosis, its emergence has risen in recent years mainly through advancement in medical technology. Rare cases of a thrombus in transit crossing a patent foramen ovale in the context of pulmonary embolism have been reported. The appropriate treatment of patients in this setting remains unclear.

Case summary

We describe a 64-year-old man who presented with syncope to the emergency room secondary to acute pulmonary embolism. Initial transthoracic echocardiogram revealed a large intracardiac thrombus in transit across a patent foramen ovale, verified by transoesophageal echocardiogram. He underwent anticoagulation and urgent surgi

SUBMITTER: Nunez R 

PROVIDER: S-EPMC7954258 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature