• Ann. Thorac. Surg. · Oct 2012

    Case Reports

    Three-dimensional transesophageal echocardiography of a thrombus entrapped by a patent foramen ovale.

    • Srinivasan Sattiraju, S Carolina Masri, Kenneth Liao, and Emil Missov.
    • Division of Cardiology, University of Minnesota Medical Center, Minneapolis, Minnesota 55455, USA.
    • Ann. Thorac. Surg. 2012 Oct 1;94(4):e101-2.

    AbstractThe substrate of paradoxic embolization is a patent foramen ovale allowing right-to-left passage of embolic material. A thrombus in transit entrapped by a patent foramen straddling an atrial septal aneurysm is an exceedingly transient condition rarely documented on imaging studies. We present the case of a 67-year-old man with acute pulmonary embolism and concomitant cerebral infarction found to have a large thrombus traversing a patent foramen ovale. Intraoperative real-time three-dimensional transesophageal echocardiography allowed accurate spatial characterization of the thrombus and correlated closely with surgical findings. It provided more realistic intraoperative guidance compared with conventional two-dimensional transesophageal echocardiography.Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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