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

Srinivasan Sattiraju, S. Carolina Masri, Kenneth Liao, Emil Missov

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The 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.

Original languageEnglish (US)
JournalAnnals of Thoracic Surgery
Volume94
Issue number4
DOIs
StatePublished - Oct 1 2012

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