Multiple Intracardiac and Paradoxical Thrombi Caused by a Thrombus Entrapped in a Patent Foramen Ovale

Elena Izaga; Alejandro Gutiérrez-Barrios; Manuel Corrales; Livia Gheorghe; Germán Calle-Pérez

doi:10.1016/j.cjca.2020.08.021

Multiple Intracardiac and Paradoxical Thrombi Caused by a Thrombus Entrapped in a Patent Foramen Ovale

Can J Cardiol. 2020 Dec;36(12):1978.e5-1978.e8. doi: 10.1016/j.cjca.2020.08.021. Epub 2020 Sep 2.

Authors

Elena Izaga¹, Alejandro Gutiérrez-Barrios², Manuel Corrales³, Livia Gheorghe², Germán Calle-Pérez²

Affiliations

¹ Cardiology Department, Hospital Puerta del Mar, Cádiz, Spain. Electronic address: elena_it91@hotmail.com.
² Cardiology Department, Hospital Puerta del Mar, Cádiz, Spain; Instituto de Investigación e Innovación en Ciencias Biomédicas de Cádiz, INiBICA, Cádiz, Spain.
³ Cardiology Department, Hospital Puerta del Mar, Cádiz, Spain.

PMID: 32890638
DOI: 10.1016/j.cjca.2020.08.021

Abstract

Patent foramen ovale (PFO) usually represents a benign incidental finding. Occasionally, a PFO can open widely, resulting in paradoxical embolism, with potentially devastating consequence. Floating intracardiac thrombi and thrombus straddling a PFO are 2 extremely rare conditions associated with a dismal prognosis and encountered almost exclusively in the setting of pulmonary embolism (PE). We report the unusual case of a 47-year-old man with an unremarkable medical history who presented with a bilateral PE and multiple paradoxical and intracardiac floating thrombi in the setting of a thrombus entrapped in a PFO.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Cardiac Imaging Techniques / methods
Cardiac Surgical Procedures* / instrumentation
Cardiac Surgical Procedures* / methods
Computed Tomography Angiography / methods
Echocardiography / methods
Electrocardiography / methods
Embolism, Paradoxical* / diagnosis
Embolism, Paradoxical* / drug therapy
Embolism, Paradoxical* / etiology
Fibrinolytic Agents / administration & dosage
Foramen Ovale, Patent* / complications
Foramen Ovale, Patent* / diagnostic imaging
Foramen Ovale, Patent* / physiopathology
Foramen Ovale, Patent* / surgery
Heparin / administration & dosage*
Humans
Ischemic Attack, Transient / diagnosis
Ischemic Attack, Transient / drug therapy
Ischemic Attack, Transient / etiology
Lung / blood supply
Lung / diagnostic imaging
Male
Middle Aged
Preoperative Care / methods
Pulmonary Embolism* / diagnosis
Pulmonary Embolism* / drug therapy
Pulmonary Embolism* / etiology
Septal Occluder Device*
Treatment Outcome

Substances

Fibrinolytic Agents
Heparin