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J Am Soc Echocardiogr · Jan 2001
Case ReportsIntra-atrial thrombus after surgical closure of patent foramen ovale.
- C J Rodriguez, M R Di Tullio, R L Sacco, and S Homma.
- Department of Medicine, Columbia College of Physicians & Surgeons, New York, NY, USA.
- J Am Soc Echocardiogr. 2001 Jan 1; 14 (1): 63-6.
AbstractPatent foramen ovale (PFO) represents a potential path for paradoxical embolism and is associated with cryptogenic stroke. It has been suggested that because a PFO represents a repairable lesion (by surgical or transcatheter methods), repair may be the optimal treatment to prevent recurrent stroke. This report describes a patient with recurrent neurologic and peripheral embolic events, which occurred approximately 6 months after the surgical closure of a PFO. The diagnosis of an intra-atrial thrombus with a small residual PFO was made by subsequent transesophageal echocardiography. Thrombus formation at the closure site needs to be considered in a patient with recurrent embolic events after closure of a PFO.
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