Thrombus straddling a patent foramen ovale

Monaldi Arch Chest Dis. 2013 Sep;80(3):137-9. doi: 10.4081/monaldi.2013.76.

Abstract

We present a case of a 67-year-old male with pulmonary embolism. Transesophageal echocardiography (TEE) showed the presence of a mobile thrombus straddling the patent foramen ovale (PFO) and prolapsing into both atria. Treatment with heparin was started. Five days after admission, repeat TEE revealed a reduction in thrombus dimensions, so anticoagulation therapy was continued. Eleven days after admission, TEE showed complete disappearance of the thrombus.

Publication types

  • Case Reports

MeSH terms

  • Acenocoumarol / administration & dosage
  • Acenocoumarol / therapeutic use*
  • Aged
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use*
  • Drug Therapy, Combination
  • Echocardiography, Transesophageal*
  • Follow-Up Studies
  • Foramen Ovale, Patent / diagnostic imaging*
  • Heart Atria / diagnostic imaging*
  • Heparin / administration & dosage
  • Heparin / therapeutic use*
  • Humans
  • Male
  • Pulmonary Embolism / diagnosis*
  • Pulmonary Embolism / drug therapy
  • Thrombosis / diagnostic imaging*
  • Thrombosis / drug therapy
  • Thrombosis / etiology
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anticoagulants
  • Heparin
  • Acenocoumarol