A traveler in transit: A case of an impending thrombus entrapped in a patent foramen ovale

被引：4

作者：

Citarella, Angelo ^{[1
]}

Boulemden, Anas ^{[1
]}

Nadarajah, Dharsicka ^{[1
]}

Apicella, Giulia ^{[1
]}

Mahmoud, Amr ^{[1
]}

Shanmuganathan, Selvaraj ^{[1
]}

机构：

[1] Trent Cardiac Ctr, Nottingham, England

来源：

JOURNAL OF CARDIAC SURGERY | 2019年 / 34卷 / 11期

关键词：

inferior vena cava filter; patent foramen ovale; pending paradoxical embolus; PARADOXICAL EMBOLISM;

D O I：

10.1111/jocs.14224

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Thrombus across a patent foramen ovale (PFO), also referred to as a pending paradoxical embolus is a rare condition. We report a case of a 50-year-old male taxi driver who was diagnosed with a massive saddle pulmonary embolism, leg deep venous thromboembolism, and pending paradoxical embolus through a PFO with systemic embolization. The patient had an inferior vena cava (IVC) filter inserted immediately followed by surgical thromboembolectomy and closure of PFO. He was discharged home 1 month after surgery. Surgery is the treatment of choice for preventing systemic embolization particularly cryptogenic stroke and its sequelae from pending paradoxical embolus. Preoperative IVC filter is a useful adjunct to prevent ongoing thromboembolism in the perioperative period. The case report presented at the Annual Cardiothoracic Meeting, 10 November 2017, Royal Society of Medicine, London.

引用

页码：1402 / 1404

页数：3

共 4 条

[1] Development of a Research Agenda for Inferior Vena Cava Filters: Proceedings from a Multidisciplinary Research Consensus Panel [J].