title: Thrombus entrapped by patent foramen ovale in a patient with pulmonary embolism: a case report.
abstract: Thrombus-in-transit appears to increase the risk of mortality compared to pulmonary embolism alone and can require alteration in therapeutic plan. We present the case of a biatrial thromboembolus caught in transit across a patent foramen ovale diagnosed by intraoperative transesophageal echocardiogram in a 69-year-old female with acute pulmonary embolism and subsequent acute cerebral infarction. We suggest that echocardiography should be performed in a patient with suspected pulmonary thromboembolism to evaluate right heart function and diagnose emboli in transit.
authors: Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Sang Beom
authors: SB
authors: Nam
authors: Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Chan Mi
authors: CM
authors: Kim
authors: Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Sung-Ah
authors: SA
authors: Cho
authors: Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Sungchan
authors: S
authors: Chung
authors: Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Yon Hee
authors: YH
authors: Shim
keywords: Echocardiography; Patent foramen ovale; Pulmonary embolism