Thrombus in Transit through a Patent Foramen Ovale: Surgical Prevention of Impending Stroke.
A Transesophageal Echocardiography (TEE) is essential in identifying thrombus in transient in patients with deep venous thrombosis (DVT) presenting with symptoms suggesting potential systemic emboli. We present a case of a 71-year-old gentleman with recent DVT who developed slurred speech and was assumed to have transient ischemia attack (TIA). TEE showed the presence of a large Thrombus in Transit (TIT) through a patent foramen ovale (PFO). Surgical intervention in low to intermediate risk is probably the best option associated with fewer complications of recurrent embolic events than both thrombolysis and anticoagulation.
Zaher
Z
Fanari
Sumaya
S
Hammami
Usman
U
Choudhry
Asim A
AA
Mohammed
Mark
M
Zweben
Wasif
W
Qureshi
D000368:Aged; D017548:Echocardiography, Transesophageal / Q000379:methods; D054092:Foramen Ovale, Patent / Q000601:surgery*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis; D008297:Male; D020521:Stroke / Q000517:prevention & control*; D013927:Thrombosis / Q000150:complications / Q000601:surgery*; D020246:Venous Thrombosis / Q000150:complications / Q000601:surgery*