Clot Through the Heart: Paradoxical Embolism With Thrombus-in-Transit at Multidetector Computed Tomography

被引:4
作者
Leach, Joseph R. [1 ]
Elicker, Brett [1 ]
Yee, Judy [1 ]
Puppula, Shilpa [1 ]
Wisneski, Judith A. [2 ]
Yeh, Benjamin M. [1 ]
机构
[1] Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Cardiol, San Francisco, CA 94143 USA
关键词
PATENT FORAMEN OVALE; DIAGNOSIS;
D O I
10.1097/RCT.0000000000000232
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We present the case of a 67-year-old man with concomitant stroke and pulmonary embolism 1 day after radiofrequency catheter ablation for refractory atrial tachycardia. A chest computed tomographic angiogram revealed "thrombus-in-transit" across a patent foramen ovale, confirming the diagnosis of paradoxical embolism. Paradoxical embolism is a rare definitive diagnosis. Our case is a key demonstration of the even rarer instance where such a diagnosis is confirmed at multidetector computed tomography.
引用
收藏
页码:598 / 600
页数:3
相关论文
共 12 条
[1]   Multimodality imaging of thrombus in transit [J].
Alraies, M. Chadi ;
Blake, David P. ;
Browning, Joseph A. .
EUROPEAN HEART JOURNAL, 2014, 35 (43) :3000-3000
[2]   Paradoxical embolism, deep vein thrombosis, pulmonary embolism in a patient with patent foramen ovale: A case report [J].
Guo S. ;
Roberts I. ;
Missri J. .
Journal of Medical Case Reports, 1 (1)
[3]   INCIDENCE AND SIZE OF PATENT FORAMEN OVALE DURING THE 1ST 10 DECADES OF LIFE - AN AUTOPSY STUDY OF 965 NORMAL HEARTS [J].
HAGEN, PT ;
SCHOLZ, DG ;
EDWARDS, WD .
MAYO CLINIC PROCEEDINGS, 1984, 59 (01) :17-20
[4]   Large serpiginous thrombus straddling the patent foramen ovale and traversing through mitral and tricuspid valves into both ventricles: a therapeutic dilemma of impending paradoxical embolism and recurrent pulmonary embolism [J].
Hamirani, Yasmin S. ;
Hnatiuk, Oleh ;
Pett, Stuart ;
Roldan, Carlos A. .
JOURNAL OF RADIOLOGY CASE REPORTS, 2014, 8 (07) :1-13
[5]  
Kim Ji-Hyun, 2011, J Cardiovasc Ultrasound, V19, P196, DOI 10.4250/jcu.2011.19.4.196
[6]   Patent Foramen Ovale: Diagnosis with Multidetector CT-Comparison with Transesophageal Echocardiography [J].
Kim, Young Jin ;
Hur, Jin ;
Shim, Chi-Young ;
Lee, Hye-Jeong ;
Ha, Jong-Won ;
Choe, Kyu Ok ;
Heo, Ji Hoe ;
Choi, Eui-Young ;
Choi, Byoung Wook .
RADIOLOGY, 2009, 250 (01) :61-67
[7]   Paradoxical massive pulmonary embolism with a straddling thrombus across a patent foramen ovale [J].
Mathew, Roshen ;
Roy, Winnie E. .
INTENSIVE CARE MEDICINE, 2014, 40 (06) :891-892
[8]   Paradoxical Embolism: Role of Imaging in Diagnosis and Treatment Planning [J].
Saremi, Farhood ;
Emmanuel, Neelmini ;
Wu, Philip F. ;
Ihde, Lauren ;
Shavelle, David ;
Go, John L. ;
Sanchez-Quintana, Damin .
RADIOGRAPHICS, 2014, 34 (06) :1571-1592
[9]   Patent foramen ovale with a riding vermicular thrombus causing paradoxical and massive pulmonary embolism [J].
Sibbing, Dirk ;
Overbeck, Matthias ;
Schmidt, Roland ;
Gaa, Jochen ;
Barthel, Petra .
EUROPEAN HEART JOURNAL, 2006, 27 (22) :2724-2724
[10]   ECG-Gated cardiac CT angiography using 64-MDCT for detection of patent Foramen ovale [J].
Williamson, Eric E. ;
Kirsch, Jacobo ;
Araoz, Philip A. ;
Edmister, Whitney B. ;
Borgeson, Daniel D. ;
Glockner, James F. ;
Breen, Jerome F. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 190 (04) :929-933