Impending paradoxical embolism after coronary artery bypass grafting successful surgical treatment.
We describe a case of impending paradoxical embolism of a 22 cm long thromboembolus, straddling over a patent foramen ovale, detected by transthoracic and transesophageal echo 11 days after a coronary artery bypass operation. The patient underwent successful emergency removal of the clot and closure of the patent foramen ovale. A vena cava filter was placed because of new thrombi detected in deep veins of the legs.
Mantovani
Vittorio
V
Department of Cardiac Surgery and Cardiology, Ospedale di Circolo-Fondazione Macchi, Università dell'lnsubria, Varese, Italy. vitmantovani@hotmail.com
Faeli
Mehran
M
Limido
Alberto
A
Ferrarese
Sandro
S
Sala
Andrea
A
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods; D017128:Embolectomy / Q000379:methods; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011379:Prognosis; D018570:Risk Assessment; D016896:Treatment Outcome