open access

Vol 15, No 5 (2008)
Case Reports
Published online: 2008-08-12
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Mitral valve thrombus, embolic events, carotid artery stenosis and patent foramen ovale

Shi-Min Yuan, Amihay Shinfeld, Ehud Raanani
Cardiol J 2008;15(5):467-470.

open access

Vol 15, No 5 (2008)
Case Reports
Published online: 2008-08-12

Abstract

Patent foramen ovale (PFO) is associated with high prevalence of stroke and systemic embolisation. A 53-year-old man had mitral valve thrombus and PFO diagnosed by echocardiography, in addition to carotid artery stenosis and embolic events including transient ischemia attack, retinal artery occlusion and left kidney infarct. Surgical removal of the mitral valve thrombus and concomitant coronary artery bypass were performed under cardiopulmonary bypass. We believe this is the sole reported case of mitral valve thrombus associated with a PFO. Due to their embolic potential, concomitant PFOs should be closed during heart operations, and independent ones deserve interventional management in high-risk patients.

Abstract

Patent foramen ovale (PFO) is associated with high prevalence of stroke and systemic embolisation. A 53-year-old man had mitral valve thrombus and PFO diagnosed by echocardiography, in addition to carotid artery stenosis and embolic events including transient ischemia attack, retinal artery occlusion and left kidney infarct. Surgical removal of the mitral valve thrombus and concomitant coronary artery bypass were performed under cardiopulmonary bypass. We believe this is the sole reported case of mitral valve thrombus associated with a PFO. Due to their embolic potential, concomitant PFOs should be closed during heart operations, and independent ones deserve interventional management in high-risk patients.
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Keywords

carotid artery stenosis; embolic events; kidney infarct; mitral valve thrombus; patent foramen ovale; retinal artery occlusion; transient ischemia attack

About this article
Title

Mitral valve thrombus, embolic events, carotid artery stenosis and patent foramen ovale

Journal

Cardiology Journal

Issue

Vol 15, No 5 (2008)

Pages

467-470

Published online

2008-08-12

Bibliographic record

Cardiol J 2008;15(5):467-470.

Keywords

carotid artery stenosis
embolic events
kidney infarct
mitral valve thrombus
patent foramen ovale
retinal artery occlusion
transient ischemia attack

Authors

Shi-Min Yuan
Amihay Shinfeld
Ehud Raanani

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