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Straddling embolus across patent foramen ovale in a case of pulmonary embolism

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Acute pulmonary embolism has a significant impact on morbidity and mortality. Its presentation varies from asymptomatic, incidentally discovered subsegmental thrombi to massive pulmonary embolism complicated by cardiogenic shock and multisystem organ failure. We present a case of a 37-year-old male who had deep venous thrombosis with acute massive pulmonary embolism and stroke. Transesophageal echocardiography revealed large straddling thrombus in patent foramen ovale along with branch pulmonary artery embolus. Patent foramen ovale was closed and pulmonary artery embolus was removed surgically. We conclude that surgery is the best mode of management in the presence of patent foramen ovale.

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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, KLE’s Dr Prabhakar Kore Hospital and Medical Research Center, Belagavi, Karnataka, India

    Ravi Ghatanatti, Mahadev Damodhar Dixit & Mohan Gan

  2. Department of Cardiothoracic and Vascular Anaesthesia, KLE’s Dr Prabhakar Kore Hospital and Medical Research Center, Belagavi, Karnataka, India

    Anand Vagarali

  3. Department of Physiology, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India

    Anita Teli

Authors
  1. Ravi Ghatanatti
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  2. Mahadev Damodhar Dixit
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  3. Mohan Gan
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  4. Anand Vagarali
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  5. Anita Teli
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Correspondence to Ravi Ghatanatti.

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Ghatanatti, R., Dixit, M.D., Gan, M. et al. Straddling embolus across patent foramen ovale in a case of pulmonary embolism. Indian J Thorac Cardiovasc Surg 33, 152–154 (2017). https://doi.org/10.1007/s12055-017-0494-1

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  • DOI: https://doi.org/10.1007/s12055-017-0494-1

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