Entrapped Thrombus in a Foramen Ovale Causing Pulmonary Emboli Treated with Emergent Surgery. Literature Review
AbstractA 60-year-old woman was admitted due to massive bilateral pulmonary thromboembolism and entrapped thrombus in the patent foramen ovale and severe right ventricular dysfunction. The patient underwent on-pump/beating heart removal of the intracardiac thrombus and bilateral pulmonary embolectomy. The postoperative course was uneventful. The chosen surgical strategy seems to offer excellent outcome in patients with severe right ventricular dysfunction.
Aboyans V, Lacroix P, Ostyn E, Cornu E, Laskar M. 1998. Diagnosis and management of entrapped embolus through a patent foramen ovale. Eur J Cardiothorac Surg 14:624-8.nAugusseau MP, Pacouret G, Charbonnier B, Sirinelli A, Dreyfus X, Aupart M. 1997. Embolie paradoxale et thrombus enclavé dans le foramen ovale. Arch Mal Coeur 90:1533-8.nBezgin T, Karabay CY, Aung SM, Kaymaz C. 2010. A third treatment option for entrapped thrombus in patent foramen ovale. Tex Heart Inst J 37:384-5.nChow BJ, Johnson CB, Turek M, Burwash IG. 2003. Impending paradoxical embolus: a case report and review of the literature. Can J Cardiol 19:1426-32.nClaver E, Larrousse E, Bernal E, Lopez-Ayerbe J, Valle V. 2004. Giant thrombus trapped in foramen ovale with pulmonary embolus and stroke. J Am Soc Echocardiogr 17:916-8.nFauveau E, Cohen A, Bonnet N, Gacem K, Lardoux H. 2008. Surgical or medical treatment for thrombus straddling the patent foramen ovale: Impending paradoxical embolism? Report of four clinical cases and literature review. Archives of Cardiovascular Disease 101:637-44.nHust MH, Staiger M, Braun B. 1995. Migration of paradoxic embolus through a patent foramen ovale diagnosed by echocardiography: successful thrombolysis. Am Heart J 129:620-2.nNellessen U, Daniel WG, Matheis G, Oelert H, Depping K, Lichtlen PR. 1985. Impending paradoxical embolism from atrial thrombus. Correct diagnosis by transesophageal echocardiography and prevention by surgery. J Am Coll Cardiol 5:1002-4.nOoi OC, Woitek F, Wong RC, Lee CN, Klima U, Kofidis T. 2010. Intra-atrial embolus trapped in patent foramen ovale before systemic embolization. J Thorac Cardiovasc Surg 139:e49-50.nPrifti E, Bonacchi M, Giunti G, et al. 2000. Does on-pump/beating-heart coronary artery bypass grafting offer better outcome in end-stage coronary artery disease patients? J Card Surg 15:403-10.nPrifti E, Bonacchi M, Giunti G, Frati G, Leacche M, Bartolozzi F. 2003. Beating heart ischemic mitral valve repair and coronary revascularization in patients with impaired left ventricular function. J Card Surg 18:375-83.nRose PS, Punjabi NM, Pearse DB. 2002. Treatment of right heart thromboemboli. Chest 121:806-14.nSattiraju S, Masri SC, Liao K, Missov E. 2012. Three-dimensional transesophageal echocardiography of a thrombus entrapped by a patent foramen ovale. Ann Thorac Surg 94:e101-2.nWhite RH. 2003. The epidemiology of venous thromboembolism. Circulation 17:I4-8.n
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