title: Surgical Treatment for Thrombus Straddling a Patent Foramen Ovale.
abstract: We present a case of a 41-year-old female with deep vein thrombosis after abdominal surgery. The patient quickly developed severe pulmonary embolism and stroke representative of paradoxical embolism. Echocardiography showed a thrombus straddling a patent foramen ovale, which was confirmed intraoperatively. An accurate diagnosis and rapid treatment decisions are crucial for preventing patient deterioration in the form of new pulmonary embolisms or stroke.
authors.affiliation: Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Centro Universitário de Votuporanga (UNIFEV), Votuporanga, SP, Brazil.
authors.forename: Marcos Aurélio Barboza
authors.initials: MAB
authors.lastname: de Oliveira
authors.affiliation: Hospital de Base (HB), São José do Rio Preto, SP, Brazil.
authors.forename: Amália Tieco da Rocha
authors.initials: AT
authors.lastname: Sabbag
authors.affiliation: Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
authors.forename: Antônio Carlos
authors.initials: AC
authors.lastname: Brandi
authors.affiliation: Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: dos Santos
authors.affiliation: Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
authors.forename: Paulo Henrique Husseni
authors.initials: PH
authors.lastname: Botelho
authors.affiliation: Hospital de Base (HB), São José do Rio Preto, SP, Brazil.
authors.forename: Franz Andrei
authors.initials: FA
authors.lastname: Patriarcha
authors.affiliation: Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil and Universidade de Campinas (UNICAMP), Campinas, SP, Brazil.
authors.forename: Domingo M
authors.initials: DM
authors.lastname: Braile
mesh_terms: D000005:Abdomen / Q000601:surgery; D000328:Adult; D005260:Female; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery