Document Detail


Pulmonary thromboembolism with floating thrombus trapped in patent foramen ovale.
MedLine Citation:
PMID:  18036951     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 39-year-old man was hospitalized with symptoms of acute deep vein thrombosis, and computed tomography showed that he had pulmonary thromboembolism. Transthoracic echocardiography showed a large, right atrial thrombus and transesophageal echocardiography showed migrating thrombus trapped in a patent foramen ovale and extending all the way up to the ascending aorta. He underwent surgical embolectomy under cardiopulmonary bypass. At the conclusion of the operation, repeat transesophageal echocardiography examination revealed fresh but small thrombus in the right atrium. This continued entry of thrombi into the heart was further managed with fluoroscopy-guided insertion of a retrievable inferior vena cava filter through the internal jugular vein in the operating room itself.
Authors:
Thomas Theologou; Prabhat Tewari; Kate Pointon; Ian M Mitchell
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  84     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-26     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2104-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiac Surgery, Trent Cardiac Centre, Nottingham University Hospital NHS Trust, City Hospital Campus, Nottinghamshire, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography, Transesophageal
Embolectomy
Foramen Ovale, Patent / complications*
Humans
Male
Pulmonary Embolism / surgery*,  ultrasonography
Vena Cava Filters
Venous Thrombosis / surgery*,  ultrasonography

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


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