• Blood Coagul. Fibrinolysis · Oct 2012

    Case Reports

    Double-edged sword in the heart: trapped deep venous thrombus in a patent foramen ovale.

    • Sadik Acikel, Ahmet G Ertem, Ugursay Kiziltepe, Mehmet Dogan, Harun Kilic, and Ekrem Yeter.
    • Departments of Cardiology and Cardiovascular Surgery, Ministry of Health Dişkapi Yildirim Beyazit Research and Educational Hospital, Ankara, Turkey. sadik.acikel@tkd.org.tr
    • Blood Coagul. Fibrinolysis. 2012 Oct 1; 23 (7): 673-5.

    AbstractTrapped thrombus in a patent foramen ovale is a rare condition. Echocardiography is the main tool for diagnosis and for determination of the treatment to choose. There are a number of treatment options for trapped deep venous thrombus in a patent foramen ovale, including surgical thrombectomy, thrombolytics, and anticoagulant therapy. All patients should be evaluated individually, because the systemic and pulmonary thromboembolism risk of all treatment options is like a 'double-edged sword'. Here, we report a case of a patient with trapped thrombus in the patent foramen ovale detected by echocardiography, and successfully treated with surgical thrombectomy under extracorporeal circulation.

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