open access

Vol 11, No 5 (2016)
Case report
Published online: 2016-09-15
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Deep vein thrombosis of the lower limb in a young man complicated by the right atrium thrombus passing through the foramen ovale into the left atrium and pulmonary embolism

Joanna Relewicz, Dariusz Dąbrowski, Rafał Kleczyk, Maciej Guziński, Monika Przewłocka-Kosmala
DOI: 10.5603/FC.a2016.0089
·
Folia Cardiologica 2016;11(5):443-446.

open access

Vol 11, No 5 (2016)
Case Reports
Published online: 2016-09-15

Abstract

Mobile biatrial thrombus entrapped in a patent foramen ovale is a very rare condition associated with an increased risk of fatal complications due to a high prevalence of paradoxical embolism. Given the limited number of cases reported so far, recommending the most favorable treatment modality is difficult, as it cannot be supported by relevant clinical data. In our paper, we present a case of 28-year-old male patient with deep vein thrombosis of the left lower limb complicated by pulmonary embolism, with mobile thrombus in transit from the right to the left atrium through the patent foramen ovale, successfully treated with surgical embolectomy and closure of interatrial communication.

Abstract

Mobile biatrial thrombus entrapped in a patent foramen ovale is a very rare condition associated with an increased risk of fatal complications due to a high prevalence of paradoxical embolism. Given the limited number of cases reported so far, recommending the most favorable treatment modality is difficult, as it cannot be supported by relevant clinical data. In our paper, we present a case of 28-year-old male patient with deep vein thrombosis of the left lower limb complicated by pulmonary embolism, with mobile thrombus in transit from the right to the left atrium through the patent foramen ovale, successfully treated with surgical embolectomy and closure of interatrial communication.

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Keywords

deep vein thrombosis, thrombus passing through the foramen ovale, pulmonary embolism

About this article
Title

Deep vein thrombosis of the lower limb in a young man complicated by the right atrium thrombus passing through the foramen ovale into the left atrium and pulmonary embolism

Journal

Folia Cardiologica

Issue

Vol 11, No 5 (2016)

Article type

Case report

Pages

443-446

Published online

2016-09-15

DOI

10.5603/FC.a2016.0089

Bibliographic record

Folia Cardiologica 2016;11(5):443-446.

Keywords

deep vein thrombosis
thrombus passing through the foramen ovale
pulmonary embolism

Authors

Joanna Relewicz
Dariusz Dąbrowski
Rafał Kleczyk
Maciej Guziński
Monika Przewłocka-Kosmala

References (6)
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  2. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet. 1999; 353(9162): 1386–1389.
  3. Stein PD, Beemath A, Olson RE. Obesity as a risk factor in venous thromboembolism. Am J Med. 2005; 118(9): 978–980.
  4. Torbicki A, Perrier A, Konstantinides S, et al. ESC Committee for Practice Guidelines (CPG). Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J. 2008; 29(18): 2276–2315.
  5. Rose PS, Punjabi NM, Pearse DB. Treatment of right heart thromboemboli. Chest. 2002; 121(3): 806–814.
  6. Myers PO, Bounameaux H, Panos A, et al. Impending paradoxical embolism: systematic review of prognostic factors and treatment. Chest. 2010; 137(1): 164–170.

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