title: [Voluminous thrombus straddling the patent foramen oval in the setting of massive pulmonary embolism, treated successfully by surgery].
abstract: Paradoxical embolism is rarely demonstrated, often suggested, and the diagnosis has been largely presumptive in most cases. The patent foramen ovale (PFO) is an important predisposing anatomic factor for such a complication. We describe a case where a voluminous thrombus straddling the PFO was diagnosed by echocardiography including the 3D modality, in the setting of acute massive pulmonary embolism. The treatment is not codified in this setting, and the thrombus was successfully removed by surgery, associated with PFO closure, and anticoagulation.
authors.affiliation: Service de cardiologie-USIC, centre hospitalier de Compiègne, 8, rue Henri-Adnot, 60200 Compiègne, France. Electronic address: patrickmeimoun.md@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Meimoun
authors.affiliation: Département de chirurgie cardiaque, centre cardiologique du Nord, 32-36, rue des Moulins-Gémeaux, 93207 Saint-Denis, France.
authors.forename: P
authors.initials: P
authors.lastname: Mesnildray
authors.affiliation: Service de cardiologie-USIC, centre hospitalier de Compiègne, 8, rue Henri-Adnot, 60200 Compiègne, France.
authors.forename: J
authors.initials: J
authors.lastname: Clerc
authors.affiliation: Service de cardiologie-USIC, centre hospitalier de Compiègne, 8, rue Henri-Adnot, 60200 Compiègne, France.
authors.forename: A
authors.initials: A
authors.lastname: Luycx-Bore
authors.affiliation: Service de cardiologie-USIC, centre hospitalier de Compiègne, 8, rue Henri-Adnot, 60200 Compiègne, France.
authors.forename: J
authors.initials: J
authors.lastname: Boulanger
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage; D003131:Combined Modality Therapy; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D019320:Embolism, Paradoxical / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000601:surgery*; D012307:Risk Factors; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery*
chemical_list: D000925:Anticoagulants
keywords: Chirurgie; Echocardiography-surgery; Embolic; Embolie; Foramen oval; Foramen ovale; Thrombus; Échocardiographie