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Title: | Thrombus entrapped in a patent foramen ovale: a potential source of pulmonary and systemic embolism. | Austin Authors: | Kearney, Leighton G ;Srivastava, Piyush M | Affiliation: | Department of Cardiology, Austin Health, Level 5 North Austin Tower, 145 Studley Road, Heidelberg, Victoria 3084, Australia | Issue Date: | 27-Feb-2009 | Publication information: | Heart, Lung & Circulation 2009; 19(1): 58-60 | Abstract: | Patent foramen ovale (PFO) occurs in up to 30% of the population, making it the most common site for intra-cardiac shunting. The passage of thrombus across a PFO is typically transient, thus is rarely proven. We describe a rare case of a 79-year-old man with thrombus entrapped across a PFO providing a source for ongoing pulmonary and systemic thromboembolism, despite systemic anticoagulation. There is a paucity of literature to guide primary management of this condition. Management options include surgical thrombectomy with PFO closure, thrombolysis and systemic anticoagulation. The role of percutaneous PFO closure devices for secondary prevention of thromboembolic complications is currently under investigation. | Gov't Doc #: | 19250868 | URI: | https://ahro.austin.org.au/austinjspui/handle/1/10779 | DOI: | 10.1016/j.hlc.2008.12.003 | Journal: | Heart, Lung & Circulation | URL: | https://pubmed.ncbi.nlm.nih.gov/19250868 | Type: | Journal Article | Subjects: | Aged Angiography.methods Anticoagulants.therapeutic use Atrial Appendage.pathology Atrial Fibrillation.etiology Atrial Septum.pathology.ultrasonography Echocardiography, Transesophageal Embolism.diagnosis.drug therapy.etiology Fatal Outcome Foramen Ovale, Patent.complications.diagnosis.drug therapy Heart Aneurysm.complications.ultrasonography Heart Diseases.complications.diagnosis.drug therapy Heparin.therapeutic use Humans Male Pulmonary Embolism.diagnosis.drug therapy.etiology Respiratory Insufficiency.etiology Shock, Cardiogenic.etiology Sodium Potassium Chloride Symporter Inhibitors.therapeutic use Thrombosis.complications.diagnosis.drug therapy Tomography, X-Ray Computed |
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