Thromboembolism-in-transit and patent foramen ovale: Should screening echocardiogram be routine for thromboembolic disease?

Dawn S. Hui, Fernando Fleischman, P. Michael McFadden

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Thromboembolism-in-transit straddling a patent foramen ovale (PFO) is a rare condition that requires urgent surgical intervention to prevent arterial emboli. Case Report: We present the case of a 42-year-old female who presented with a symptomatic pulmonary embolism. Echocardiography identified a PFO, with a bridging thrombus-in-transit and evidence of right ventricular strain. Urgent surgery was performed because of the risk of systemic embolism. A large thrombus was identified during biatrial exploration. Pulmonary embolectomy and primary PFO closure were performed. Conclusion: Because of the 20%-30% incidence of PFOs in the general population, we suggest that echocardiography should be considered for routine surveillance in thromboembolism because of the risk of systemic sequelae.

Original languageEnglish (US)
Pages (from-to)321-323
Number of pages3
JournalOchsner Journal
Volume16
Issue number3
StatePublished - Sep 1 2016
Externally publishedYes

Keywords

  • Echocardiography
  • Foramen ovale-patent
  • Thromboembolism

ASJC Scopus subject areas

  • Medicine(all)

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