[Paradoxical embolism and thrombosis trapped in the foramen ovale. Role of transesophageal echocardiography].
The authors report a case of paradoxical embolism presenting with syncope and a transient cerebrovascular accident. A large thrombus was observed entrapped in the foramen ovale during transthoracic echocardiography and confirmed at transoesophageal echocardiography. Despite the recent cerebrovascular event surgery was successfully performed. This clinical situation, and a review of the literature illustrate the diagnostic value of transoesophageal echocardiography, the finding of an intra-atrial thrombus being a possible surgical indication when the clinical context is favourable.
Augusseau
M P
MP
Service de cardiologie D et USCI, CHU Trousseau, Tours.
Pacouret
G
G
Charbonnier
B
B
Sirinelli
A
A
Dreyfus
X
X
Aupart
M
M
D017548:Echocardiography, Transesophageal; D017128:Embolectomy; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D013924:Thrombophlebitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome; D016306:Vena Cava Filters
Embolie paradoxale et thrombus enclavé dans le foramen ovale. Intérêt de l'échographie transoesophagienne.