[Thrombus entrapped in a patent foramen ovale of the atrial septum].
A 59-year-old women was referred to our hospital due to severe dyspnea and shock status 12 days after intracranial hematoma evacuation for the hypertensive right putaminal hemorrhage. Transthoracic echocardiography revealed right ventricular dilatation and floating structures in the right atrium. Transesophageal echocardiography demonstrated a large, snake-like structure crossing her foramen ovale of the interatrial septum, and impending paradoxical embolism was diagnosed. She did not receive any anticoagulation and surgery due to recent cerebral hemorrhage. Follow-up TEE showed complete disappearance of the thrombus in the atrium two weeks after the onset. Phlebogram of deep vein demonstrated several thrombus in her leg. She underwent placement of inferior vena cava filter and was discharged from our hospital without any symptom of paradoxical embolism.
Kume
T
T
Department of Cardiology, Kawasaki Medical School, Kurashiki, Japan.
Saito
Y
Y
Watanabe
N
N
Akiyama
M
M
Kaji
S
S
Kamiyama
N
N
Akasaka
T
T
Yoshida
K
K
Fukuhiro
Y
Y
Tanemoto
K
K
D017548:Echocardiography, Transesophageal; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006325:Heart Atria; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications