Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale
Abstract Background Venous thromboembolism represents the third most frequent acute cardiovascular syndrome worldwide. Its clinical manifestations are deep vein thrombosis and/or pulmonary embolism. Despite a considerable mortality, diagnosis is often missed. Case presentation We report the managem...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
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| Series: | Cardiovascular Ultrasound |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12947-022-00298-x |
| _version_ | 1811190341961777152 |
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| author | Antonio Rizza Francesco Negro Tommaso Gasbarri Roberto Arpesani Baldassare Ferro Paolo Roncucci Cataldo Palmieri Simone Sorbo Emilio Maria Pasanisi Marco Solinas Sergio Berti |
| author_facet | Antonio Rizza Francesco Negro Tommaso Gasbarri Roberto Arpesani Baldassare Ferro Paolo Roncucci Cataldo Palmieri Simone Sorbo Emilio Maria Pasanisi Marco Solinas Sergio Berti |
| author_sort | Antonio Rizza |
| collection | DOAJ |
| description | Abstract Background Venous thromboembolism represents the third most frequent acute cardiovascular syndrome worldwide. Its clinical manifestations are deep vein thrombosis and/or pulmonary embolism. Despite a considerable mortality, diagnosis is often missed. Case presentation We report the management of a female patient with high-risk pulmonary thromboembolism treated initially with thromboaspiration, complicated by embolus jailing in a patent foramen ovale. In this situation, left cardiac chambers and systemic circulation were jeopardized by this floating embolus. Conclusions High-risk pulmonary embolism requires reperfusion strategy but sometimes mechanical thromboaspiration may be not fully successful; transesophageal echocardiography led to a prompt diagnosis of this unexpected finding; in this very particular case, open surgery represented a bail-out procedure to avoid cerebral and systemic embolism. |
| first_indexed | 2024-04-11T14:49:39Z |
| format | Article |
| id | doaj.art-c178c28bb0ed48c9b536773950a3513d |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-04-11T14:49:39Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-c178c28bb0ed48c9b536773950a3513d2022-12-22T04:17:32ZengBMCCardiovascular Ultrasound1476-71202022-11-012011510.1186/s12947-022-00298-xLife-threatening paradoxical thromboembolism in a patient with patent foramen ovaleAntonio Rizza0Francesco Negro1Tommaso Gasbarri2Roberto Arpesani3Baldassare Ferro4Paolo Roncucci5Cataldo Palmieri6Simone Sorbo7Emilio Maria Pasanisi8Marco Solinas9Sergio Berti10Cardiology Unit, Ospedale del Cuore, Fondazione Toscana “G. Monasterio”Cardiology Division, Pisa University HospitalCardiac Surgery Department, Fondazione Tosca “G. Monasterio”Interventional Radiology Unit, Spedali Riuniti Di LivornoIntensive Care Unit, Spedali Riuniti Di LivornoIntensive Care Unit, Spedali Riuniti Di LivornoCardiology Unit, Ospedale del Cuore, Fondazione Toscana “G. Monasterio”Cardiology Unit, Ospedale del Cuore, Fondazione Toscana “G. Monasterio”Cardiology Unit, Spedali Riuniti Di LivornoCardiac Surgery Department, Fondazione Tosca “G. Monasterio”Cardiology Unit, Ospedale del Cuore, Fondazione Toscana “G. Monasterio”Abstract Background Venous thromboembolism represents the third most frequent acute cardiovascular syndrome worldwide. Its clinical manifestations are deep vein thrombosis and/or pulmonary embolism. Despite a considerable mortality, diagnosis is often missed. Case presentation We report the management of a female patient with high-risk pulmonary thromboembolism treated initially with thromboaspiration, complicated by embolus jailing in a patent foramen ovale. In this situation, left cardiac chambers and systemic circulation were jeopardized by this floating embolus. Conclusions High-risk pulmonary embolism requires reperfusion strategy but sometimes mechanical thromboaspiration may be not fully successful; transesophageal echocardiography led to a prompt diagnosis of this unexpected finding; in this very particular case, open surgery represented a bail-out procedure to avoid cerebral and systemic embolism.https://doi.org/10.1186/s12947-022-00298-xPulmonary embolismDeep vein thrombosisPatent foramen ovaleParadoxical embolization |
| spellingShingle | Antonio Rizza Francesco Negro Tommaso Gasbarri Roberto Arpesani Baldassare Ferro Paolo Roncucci Cataldo Palmieri Simone Sorbo Emilio Maria Pasanisi Marco Solinas Sergio Berti Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale Cardiovascular Ultrasound Pulmonary embolism Deep vein thrombosis Patent foramen ovale Paradoxical embolization |
| title | Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| title_full | Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| title_fullStr | Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| title_full_unstemmed | Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| title_short | Life-threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| title_sort | life threatening paradoxical thromboembolism in a patient with patent foramen ovale |
| topic | Pulmonary embolism Deep vein thrombosis Patent foramen ovale Paradoxical embolization |
| url | https://doi.org/10.1186/s12947-022-00298-x |
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