Removal of a left atrial thrombus adherent to a patent foramen ovale occluder.
A 62-year-old man presented with bilateral thromboembolic occlusion of the lower leg arteries 8 months after closure of a patent foramen ovale with an Amplatzer patent-foramen-ovale occluder (AGA Medical Corporation, Plymouth, MN). Then he developed an acute myocardial ischemia. A left heart catheter revealed thromboembolic occlusion of the right coronary artery, and echocardiography demonstrated a thrombus attached to the device within the left atrium. Cerebral computer tomography showed a new ischemic lesion. In an emergency procedure, the device and the left atrial thrombus were removed, the septal defect was closed, and a coronary artery bypass grafting was performed. The patient was discharged from the hospital in stable condition.
Krieg
Peter
P
Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, Jena, Germany. peter.krieg@med.uni-jena.de
Lapp
Harald
H
Pethig
Klaus
K
Gummert
Jan F
JF
Bossert
Torsten
T
D021721:Balloon Occlusion / Q000009:adverse effects* / Q000295:instrumentation; D006328:Cardiac Catheterization; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000379:methods*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
D005343:Fibrinolytic Agents