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Case Reports
. 2020 Jul 31:4:140-142.
doi: 10.1016/j.xjtc.2020.07.019. eCollection 2020 Dec.

Successful surgical treatment of clot in transit with impending paradoxical embolism: A case report

Maria A Medina  1   2 , Albert F Guerrero  1 , Nestor F Sandoval  1   2 , Juan P Umana  1   2
Affiliations
Case Reports

Successful surgical treatment of clot in transit with impending paradoxical embolism: A case report

Maria A Medina et al. JTCVS Tech. .
No abstract available

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Figures

None
Images showing the presence of thrombus in the main pulmonary artery and through the PFO.
Figure 1
Figure 1
A, Preoperative angiography by pulmonary computed tomography of the embolism involving bilateral main pulmonary arteries (arrow). B, Transesophageal 2-dimensional echocardiography showing a large thrombus entrapped in patent foramen ovale (arrow). LA, Left atria; RA, right atria; Ao, aorta.
Video 1
Video 1
Removal of the large thrombus through the foramen ovale in a right atrial view. Video available at: https://www.jtcvs.org/article/S2666-2507(20)30357-6/fulltext.
Figure 2
Figure 2
A, Intraoperative images of bilateral pulmonary thrombus. B and C, Before and after atria thromboembolectomy with patent foramen ovale, in a right atrial view. PA, Pulmonary artery; RV, right ventricle; RA, right atria; PFO, patent foramen ovale.
See this image and copyright information in PMC

References

    1. Konstantinides S.V., Meyer G., Bueno H., Galié N., Gibbs J.S.R., Ageno W., et al. 2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) Eur Heart J. 2020;41:543–603. - PubMed
    1. Ma X., Song L., Yang H., Xia J., Wu C., He Y. Impending paradoxical embolism. Ann Thorac Surg. 2019;108:e73–e75. - PubMed
    1. Kabrhel C., Rosovsky R., Garvey S. Special considerations in pulmonary embolism: clot-in-transit and incidental pulmonary embolism. Crit Care Clin. 2020;36:531–546. - PubMed
    1. Seo W.W., Kim S.E., Park M.S., Lee J.H., Park D.G., Han K.R., et al. Systematic review of treatment for trapped thrombus in patent foramen ovale. Korean Circ J. 2017;47:776–785. - PMC - PubMed
    1. Fauveau E., Cohen A., Bonnet N., Gacem K., Lardoux H. Surgical or medical treatment for thrombus straddling the patent foramen ovale: impending paradoxical embolism? Report of four clinical cases and literature review. Arch Cardiovasc Dis. 2008;101:637–644. - PubMed

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