Silent embolism of a large thrombus in transit through the patent foramen ovale: a case report.

ABSTRACT:

Background

Detection of a thrombus in transit through a patent foramen ovale (PFO) is extremely rare due to the transient nature of the process. We report an unusual case of a large, paradoxical embolus in transit seen on echocardiography through a PFO that was not found upon atriotomy.

Case summary

An 80-year-old woman presented to the emergency room with shortness of breath and right leg pain. She was haemodynamically stable on presentation, and her physical exam was unremarkable. An ultrasound of her right leg revealed a deep vein thrombus in the posterior tibial vein, and chest computed tomography angiography showed saddle pulmonary emboli. Transthoracic echocardiogram identified a large thrombus in transit through a PFO, which was confirmed with a transoesophageal echoc

SUBMITTER: Hegde S 

PROVIDER: S-EPMC8186917 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature