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Thrombus in Transit through Patent Foramen Ovale
Joint Authors
Chalhoub, Michel
Hatem, Elie
Baydoun, Hassan
Mroueh, Ali
Barakat, Iskander
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A thrombus in transit through a patent foramen ovale (PFO) with impending paradoxical embolism is an extremely rare event.
Due to its transient nature, it is unable to identify the thrombus, and most of the cases have been reported at autopsy.
We are reporting a case of thrombus straddling the foramen ovale which was diagnosed by echocardiography and treated surgically.
Through this personal case, an exhaustive review of the literature was performed.
There were 88 cases reported.
We concluded that there is no medical consensus about the best option for treatment.
Nevertheless, surgery, which is associated with fewer complications of recurrent embolic events than those of thrombolysis and anticoagulation, appeared to be the best approach in patients who are not at a high surgical risk.
Anticoagulant treatment appears to be an acceptable therapeutic alternative to surgery, particularly in patients with comorbidities who are at high surgical risk and for patients with small PFO.
Thrombolysis is linked to the highest mortality, which could be explained by the severity of the patient’s initial presentation.
In conclusion, and after the cumulative effects of these case reports, we propose a diagram consisting of the use of the three therapeutic options in the different clinical scenarios.
American Psychological Association (APA)
Baydoun, Hassan& Barakat, Iskander& Hatem, Elie& Chalhoub, Michel& Mroueh, Ali. 2013. Thrombus in Transit through Patent Foramen Ovale. Case Reports in Cardiology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-468797
Modern Language Association (MLA)
Baydoun, Hassan…[et al.]. Thrombus in Transit through Patent Foramen Ovale. Case Reports in Cardiology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-468797
American Medical Association (AMA)
Baydoun, Hassan& Barakat, Iskander& Hatem, Elie& Chalhoub, Michel& Mroueh, Ali. Thrombus in Transit through Patent Foramen Ovale. Case Reports in Cardiology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-468797
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468797