A Patent Foramen Ovale With an Atrial Septal Aneurysm in a Patient Presenting With Deep Vein Thrombosis and Pulmonary Embolism

被引:0
作者
Panama, Gabriel [1 ]
Martinez, Adolfo [1 ]
Alattal, Saif [1 ]
Banga, Preeti [2 ]
Banga, Sandeep [3 ]
Quintar, Mohammed [4 ]
机构
[1] Michigan State Univ, Internal Med, E Lansing, MI 48824 USA
[2] Michigan State Univ, Radiol, E Lansing, MI USA
[3] Michigan State Univ, Cardiol, E Lansing, MI USA
[4] Sparrow Hosp, Intervent Cardiol, Lansing, MI USA
关键词
Cardiology massive pulmonary embolism; deep vein thrombosis (dvt); patent foramen ovale closure; patent foramen ovale (pfo); atrial septal aneurysm; CLOSURE; PFO;
D O I
10.7759/cureus.53714
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patent foramen ovale (PFO) is an embryogenic remnant that can be found in healthy adults with no repercussions. However, it poses a risk of paradoxical embolism. In patients with known embolic stroke, the risk of recurrence is greater. A PFO can be accompanied by morphological variants such as atrial septal aneurysms (ASA). These have been shown to further increase the risk of stroke and embolism. This is a case of a patient who presented to the emergency department with deep vein thrombosis and sub-massive pulmonary embolism. An echocardiogram showed a PFO with an ASA as an incidental finding. The defect was closed with a transcatheter PFO closure device due to a high risk of paradoxical embolism.
引用
收藏
页数:6
相关论文
共 12 条
[1]   Transcatheter closure of patent foramen ovale: Current evidence and future perspectives [J].
Akagi, Teiji .
JOURNAL OF CARDIOLOGY, 2021, 77 (01) :3-9
[2]   Assessment of Value of Three Dimensional Transesophageal Echocardiography versus Conventional Two Dimensional Transesophageal Echocardiography in Guiding Transcatheter Closure of Atrial Septal Defects and Patent Foramen Ovale [J].
El Doklah, Eman H. ;
El Shedoudy, Sahar A. ;
El Saied, Ayman M. ;
Kassem, Hanan K. ;
El Masry, Magdy M. .
JOURNAL OF THE SAUDI HEART ASSOCIATION, 2022, 34 (02) :85-99
[3]   Advances and Ongoing Controversies in Patent Foramen Ovale Closure and Cryptogenic Stroke [J].
Gonzalez, Joaquin B. ;
Testai, Fernando D. .
NEUROLOGIC CLINICS, 2021, 39 (01) :51-69
[4]   Percutaneous PFO Closure with Amplatzer PFO Occluder: Predictors of Residual Shunts at 6 Months Follow-up [J].
Greutmann, Matthias ;
Greutmann-Yantiri, Mehtap ;
Kretschmar, Oliver ;
Senn, Oliver ;
Roffi, Marco ;
Jenni, Rolf ;
Luescher, Thomas F. ;
Eberli, Franz R. .
CONGENITAL HEART DISEASE, 2009, 4 (04) :252-257
[5]   Cryptogenic Stroke and High-Risk Patent Foramen Ovale The DEFENSE-PFO Trial [J].
Lee, Pil Hyung ;
Song, Jae-Kwan ;
Kim, Jong S. ;
Heo, Ran ;
Lee, Sahmin ;
Kim, Dae-Hee ;
Song, Jong-Min ;
Kang, Duk-Hyun ;
Kwon, Sun U. ;
Kang, Dong-Wha ;
Lee, Dongwhane ;
Kwon, Hyuk Sung ;
Yun, Sung-Cheol ;
Sun, Byung Joo ;
Park, Jae-Hyeong ;
Lee, Jae-Hwan ;
Jeong, Hye Seon ;
Song, Hee-Jung ;
Kim, Jei ;
Park, Seung-Jung .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 71 (20) :2335-2342
[6]   Identification of High-Risk Patent Foramen Ovale Associated With Cryptogenic Stroke: Development of a Scoring System [J].
Nakayama, Rie ;
Takaya, Yoichi ;
Akagi, Teiji ;
Watanabe, Nobuhisa ;
Ikeda, Madoka ;
Nakagawa, Koji ;
Toh, Norihisa ;
Ito, Hiroshi .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2019, 32 (07) :811-816
[7]   The 'dreaded PFO': anatomical and functional features of high risk for stroke [J].
Radico, Francesco ;
Foglietta, Melissa ;
Di Fulvio, Maria ;
Appignani, Marianna ;
Rossi, Serena ;
De Angelis, Maria Vittoria ;
Gallina, Sabina ;
Zimarino, Marco .
EUROPEAN HEART JOURNAL SUPPLEMENTS, 2021, 23 (0E) :E189-E193
[8]   Atrial septal aneurysm contribution to the risk of cryptogenic stroke in patients with patent foramen ovale: A brief updated systematic review and meta-analysis  [J].
Rigatelli, Gianluca ;
Zuin, Marco ;
Bilato, Claudio .
TRENDS IN CARDIOVASCULAR MEDICINE, 2023, 33 (06) :329-333
[9]   Left Atrial Dysfunction in Patients With Patent Foramen Ovale and Atrial Septal Aneurysm An Alternative Concurrent Mechanism for Arterial Embolism? [J].
Rigatelli, Gianluca ;
Aggio, Silvio ;
Cardaioli, Paolo ;
Braggion, Gabriele ;
Giordan, Massimo ;
Dell'avvocata, Fabio ;
Chinaglia, Mauro ;
Rigatelli, Giorgio ;
Roncon, Loris ;
Chen, Jack P. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (07) :655-662
[10]   Role of 3D transesophageal echocardiography in transcatheter closure of atrial septal aneurysms [J].
Taha, Fatma ;
Elshedoudy, Sahar .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2019, 36 (10) :1884-1894