Paradoxical arterial and pulmonary embolism in a patient with a thrombus between atrial septum and patent foramen ovale.
We describe a 50-year-old woman with an incident of systemic and pulmonary embolism in whom transoesophageal examination (TEE) with the aid of contrast echocardiography (CE) identified a patent foramen ovale (PFO) with a residual thrombus between atrial septum and PFO valve suggesting paradoxical systemic embolization. The patient was diagnosed as heterozygous for prothrombin G20210A mutation. Control TEE performed after fibrinolysis, 2 months of heparin treatment followed by oral anticoagulation did not show any embolic material within the PFO.
Piestrzeniewicz
Katarzyna
K
Sterling Memorial Hospital, Cardiology Clinic, Institute of Cardiology, Sterlinga 1/3, 91-425 Lódź, Poland.
Maciejewski
Marek
M
D000925:Anticoagulants / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000150:complications / Q000235:genetics; D004452:Echocardiography / Q000379:methods; D019320:Embolism, Paradoxical / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011150:Popliteal Artery; D011516:Prothrombin / Q000235:genetics; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016896:Treatment Outcome
D000925:Anticoagulants; D011516:Prothrombin