title: Thrombus crossing through a patent foramen ovale.
abstract: Paradoxical embolism across a patent foramen ovale (PFO) is a rare clinical entity and the thrombus is rarely caught passing through a PFO. A 65-year-old woman presented with dyspnea and pleuritic chest pain. Lower extremity venous Doppler ultrasound showed bilaterally extensive thrombosis at deep veins. Transthoracic echocardiographic examination showed two masses in both left and right atriums. In transesophageal echocardiography (TEE) interatrial septum was thin and aneurysmatic and a thrombus wedged through a patent foramen ovale and lodged in both atriums was demonstrated. We considered this mass as a thrombus crossing through a patent foramen ovale. He refused surgery and during anticoagulation therapy the patient had brachial artery embolism. Embolectomy material was reported as a thrombus.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ozdogru
authors.forename: Mehmet Gungor
authors.initials: MG
authors.lastname: Kaya
authors.forename: Ali
authors.initials: A
authors.lastname: Dogan
authors.forename: Tugrul
authors.initials: T
authors.lastname: Inanc
authors.forename: Arif
authors.initials: A
authors.lastname: Yalcin
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Oguzhan
mesh_terms: D000368:Aged; D005260:Female; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging*; D006801:Humans; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging