The Relevance of a Patent Foramen Ovale in a Patient with Right Atrial Thrombus

2021 ◽  
Vol 61 (5) ◽  
pp. e126
Author(s):  
Oscar M.P. Jolobe
Author(s):  
Ricardo Patricio Pérez Anderson ◽  
Johannes Boehm ◽  
Ruediger Lange ◽  
Ralf Guenzinger

Abstract: The Prothrombin mutation G2021 alone is considered a minor risk factor for thromboembolism, but thromboembolic events are more likely in the presence of additional risk factors. We report on a 44-year-old female with an atrial thrombus causing pulmonary embolism and transiting through a patent foramen ovale. The thrombus was extracted by open heart operation. The patient had a family history for thromboembolic events. Further diagnostic after surgery found the patient positive for the Prothrombin mutation G2021, but not for the Factor V Leiden mutation. After surgery, a permanent oral anticoagulation has been started.


Author(s):  
Jason Chiang ◽  
Sipan Mathevosian ◽  
Jamil Aboulhosn ◽  
John M Moriarty

AbstractIn this technical case report, we describe a 41-year-old female with a history of breast cancer who was found to have a right atrial clot attached to the tip of her Port-A-Cath. During transthoracic echocardiography to evaluate her clot, she was also noted to also have a patent foramen ovale. The decision was made to perform a simultaneous right atrial endovascular aspiration thrombectomy and patent foramen ovale closure. To minimize the risk for paradoxical embolus during clot manipulation, an intravascular embolic neuroprotection device was deployed. After the procedure, it was noted on visual inspection that the device filter contained several embolic fragments. The presence of macroscopic embolic fragments in the filter baskets highlights the role of prophylactic embolic protection when performing cardiac interventions in the setting of a patent foramen ovale, particularly in the presence of a right atrial thrombus or mass.


2021 ◽  
Author(s):  
Hafiz Muhammad Abrar Jeelani ◽  
Muhammad Mubbashir Sheikh ◽  
Adeel Riaz ◽  
Nikita Jain ◽  
Nayha Tahir ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 2014
Author(s):  
Shehryar Jumani ◽  
Pavankumar Thota ◽  
Jewelian Baig ◽  
Luis Chozet ◽  
Megan Stevens ◽  
...  

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