Thromboembolus crossing patent foramen ovale: appearance in multislice computed tomography and echocardiography.
A 31-year-old woman was referred to our hospital due to progressive dyspnea and a family history of pulmonary embolism. Multislice computed tomography depicted massive bilateral pulmonary embolism, and transesophageal echocardiography demonstrated a serpentine structure in both atria with the appearance of a thrombus. Furthermore, a highly mobile mass trapped in her patent foramen ovale was identified. She underwent emergency cardiac embolectomy and was discharged from our hospital with conventional anticoagulant therapy.
Department of Cardiac Surgery, Heart Center, University of Heidelberg, INF 110, 69120 Heidelberg, Germany. weymann.alexander@googlemail.com
Alexander
A
Weymann
Bastian
B
Schmack
Christian
C
Rosendal
Matthias
M
Karck
Gabor
G
Szabo
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D055424:Cardiac-Gated Imaging Techniques; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D017128:Embolectomy; D005260:Female; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging*; D006801:Humans; D061330:Multidetector Computed Tomography; D011237:Predictive Value of Tests; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging; D013923:Thromboembolism / Q000000981:diagnostic imaging* / Q000628:therapy; D016896:Treatment Outcome
D000925:Anticoagulants