| Thrombus entrapped in a patent foramen ovale, causing only vague symptoms. | |
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MedLine Citation:
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PMID: 20200458 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patent foramen ovale provides a passage from venous circulation to arterial circulation. This may allow passage of a thrombus formed in the venous system into the systemic circulation. We present a case in which a thrombus was entrapped in a patent foramen ovale. A 45-year-old woman presented with complaints of atypical chest pain and pretibial edema. Transthoracic echocardiography showed normal systolic function and grade I diastolic dysfunction. Pulmonary artery pressure was 43 mmHg. There was a mobile multilobular mass in the right atrium, attached to the interatrial septum via a thin pedicle. Transesophageal echocardiography showed a biatrial mass. It was 7-10 mm thick, multilobular, homogeneously echogenic, and highly mobile. It passed through the patent foramen ovale into the left atrium. The left atrial part was 6-8 mm thick, relatively shorter, and less mobile. The patient denied any symptoms related to a cerebrovascular accident. Heparin was initiated and an urgent operation was decided. Intraoperative transesophageal echocardiography showed that the mass was a thrombus which had become smaller due to anticoagulation. She had no neurologic symptoms postoperatively. Venous Doppler examination revealed deep vein thrombosis and warfarin was started. |
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Authors:
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Celal Genç; Mehmet Uzun; Omer Yiğiner; Oben Baysan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır Volume: 37 ISSN: 1016-5169 ISO Abbreviation: Turk Kardiyol Dern Ars Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-03-04 Completed Date: 2010-11-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9426239 Medline TA: Turk Kardiyol Dern Ars Country: Turkey |
Other Details:
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Languages: eng Pagination: 563-5 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Haydarpaşa Training Hospital, Gülhane Military Medical Academy, Istanbul, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anticoagulants
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therapeutic use Chest Pain / etiology Echocardiography, Transesophageal Female Foramen Ovale, Patent / complications* Heparin / therapeutic use Humans Middle Aged Treatment Outcome Venous Thrombosis / diagnosis*, surgery, ultrasonography* Warfarin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 81-81-2/Warfarin; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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