Saddle Pulmonary Embolus Caught in Transit across a Patent Foramen Ovale.

Autor: Barbaryan A; Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USA., Bailuc S; Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USA., Abicht T; Department of Cardiothoracic Surgery, University of Kansas Health System, Kansas City, KS, USA., Barsamyan S; Department of Cardiology, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK., Gizaw Y; Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USA., Mirrakhimov AE; Division of Pulmonary and Critical Care Medicine, University of New Mexico, Albuquerque, USA.
Jazyk: angličtina
Zdroj: Case reports in pulmonology [Case Rep Pulmonol] 2019 May 02; Vol. 2019, pp. 5747598. Date of Electronic Publication: 2019 May 02 (Print Publication: 2019).
DOI: 10.1155/2019/5747598
Abstrakt: Impending paradoxical embolism (IPE) also described in the literature as thrombus straddling a patent foramen ovale (PFO) or paradoxical embolus in transit is a rare condition when thrombus (originating mostly in deep veins of lower extremities) embolized to the heart gets caught in PFO or in atrial septal defect without systemic embolization. We present a case of a 39-year-old female on oral contraceptive pills who presented to the emergency department with chief complaint of dyspnea and chest pain. She was found to have saddle pulmonary embolus (PE) extending through PFO to left atrium and into the left ventricle. Patient underwent emergent open pulmonary embolectomy, removal of right and left atrial thrombi, and closure of patent foramen ovale. She tolerated the surgery well and was discharged home on chronic anticoagulation therapy.
Databáze: MEDLINE
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