Document Detail


Large emboli on their way through the heart - first live demonstration of large paradoxical embolisms through a patent foramen ovale.
MedLine Citation:
PMID:  16520095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of large paradoxical embolisms through a patent foramen ovale in a patient with acquired heparin-induced thrombocytopenia type II (HIT). One large ventricular thrombus embolizing through the aortic valve was documented on videotape for the first time while performing transesophageal echocardiography. A 56-year-old man was admitted with acute respiratory failure initially believed to have an exacerbated chronic obstructive pulmonary disease. Arterial oxygen saturation was only 33%. He received antibiotic and anti-obstructive treatments and was mechanically ventilated for 7 days. Few hours after extubation, he developed recurrent severe dyspnea accompanied by acute pain and pulselessness in his left leg. Transthoracic echocardiography revealed an enlarged right ventricle and suggested the presence of free-floating thrombi both in the right and in the left-heart cavities. During transesophageal echocardiography, a large serpentine left-heart thrombus embolized through the aortic valve and disappeared. The patient developed ventricular fibrillation and underwent successful cardiopulmonary resuscitation including emergency thrombolysis with alteplase. Four hours later, the surgeon retrieved a 20-cm long thrombus from the left femoral artery.
Authors:
Lars S Maier; Nils Teucher; Hilmar Dörge; Stavros Konstantinides
Related Documents :
10923965 - Amniotic fluid embolism.
17463205 - Systemic thrombolysis using tissue plasminogen activator for a patient with paradoxic e...
19023605 - Usefulness of transcatheter arterial embolization for intercostal arterial bleeding in ...
985075 - "blue toe" syndrome. an indication for limb salvage surgery.
21124275 - From puncture to closure of the common femoral artery in endovascular aortic repair.
17077945 - Common hepatic artery arising from the left gastric artery: a rare anatomic variation i...
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-03-06
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  8     ISSN:  1525-2167     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-04-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  158-60     Citation Subset:  IM    
Affiliation:
Abt. Kardiologie & Pneumologie/Herzzentrum, Georg-August-Universität Göttingen, Robert-Koch-Str. 40, 37075 Göttingen, Germany. lmaier@med.uni-goettingen.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Echocardiography
Echocardiography, Transesophageal
Embolectomy
Embolism, Paradoxical / complications*,  ultrasonography*
Femoral Artery
Heart Septal Defects, Atrial / complications*,  ultrasonography*
Humans
Magnetic Resonance Angiography
Male
Middle Aged
Thromboembolism / diagnosis,  surgery
Video Recording*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Adenomyosis and reproduction.
Next Document:  Role of brainstem TRH/TRH-R1 receptors in the vagal gastric cholinergic response to various stimuli ...