A case report of entrapped thrombus in patent foramen ovale

Yıl 2016, Cilt: 8 Sayı: 4, 230 - 232, 01.12.2016

Özgül Uçar Elalmış

https://doi.org/10.21601/ortadogutipdergisi.270415

Öz

Patent
foramen ovale (PFO) is a flap-like potantial space on the interatrial septum,
which is present in approximately 20-25% of the population. Thrombus entrapped
in PFO, which causes simultaneous pulmonary and systemic embolism, is a rare finding.
This report describes a patient, in whom a trombus entrapped in PFO was detected
by echocardiography and the patient developed thromboembolic cerebrovascular accident
two days after the thrombolytic therapy.  

Anahtar Kelimeler

Paradoxical embolism, patent foramen ovale, pulmonary embolism

Patent foramen ovale içinde sıkışmış trombüs olgusu

Öz

Patent
foramen ovale (PFO) interatrial septum üzerinde, toplumun %20-25' inde
görülebilen flep benzeri bir açıklıktır. PFO içinde sıkışmış, eş zamanlı
pulmoner ve sistemik emboliye neden olan trombüs olguları oldukça nadir
görülür. Bu yazıda ekokardiyografi ile PFO içine sıkışmış trombüs saptanan ve
trombolitik tedaviden iki gün sonra tromboembolik serebrovasküler olay geçiren
bir olgu sunulmuştur. 

Anahtar Kelimeler

Paradoks emboli, patent foramen ovale, pulmoner emboli

Kaynakça

• Silvestry FE, Cohen MS, Armsby LB, et al. Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions. J Am Soc Echocardiogr 2015; 28(8): 910-58.
• Konstantinides S, Geibel A, Kasper W, Olschewski M, Blümel L, Just H. Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism. Circulation 1998; 97(19): 1946-51.
• Nellessen U, Daniel WG, Matheis G, Oelert H, Depping K, Lichtlen PR. Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery. J Am Coll Cardiol 1985; 5(4): 1002-4.
• Myers PO, Bounameaux H, Panos A, Lerch R, Kalangos A. Impending paradoxical embolism: systematic review of prognostic factors and treatment. Chest 2010; 137(1): 164-70.
• Chow B, Johnson C, Turek M, Burwasch IG. Impending paradoxical embolus: a case report and review of the literature. Can J Cardiol 2003; 19(12): 1426-32.
• Bezgin T, Karabay CY, Aung SM, Kaymaz C. A third treatment option for entrappedt hrombus in patent foramen ovale.Tex Heart Inst J. 2010; 37(3): 384-5.
• Prifti E, Ademaj F, Baboci A, Doko A, Teferici D. Surgical treatment of a massive bilateral pulmonary embolus due to an entrapped thrombus in a patent foramen ovale: a case report. Journal of Medical Case Reports. 2015; 9:51.
• Baydoun H, Barakat I, Hatem E, Chalhoub M, Mroueh A. Thrombus in Transit through Patent Foramen Ovale. Case Rep Cardiol. 2013; 2013: 395879.