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Simultaneous systemic and pulmonary embolism

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Abstract

A 71 year old woman was admitted in our hospital because of sudden-onset dyspnoea and angina like pain. We presumed acute pulmonary embolism and immediately performed bedside transthoracic (TTE) and transesophageal echocardiographic (TEE) studies. TTE and TEE showed a 1×10 cm large tubular thrombus, entrapped in a patent foramen ovale (PFO), in the right atrium. We performed emergency surgery because of the patient’s acute hemodynamic deterioration. Intraoperatively, we found a long and tubular shaped thrombus (approximately 1×12 cm) transversing from right to left atrium. Several therapeutic options exist for right heart thromboemboli. Surgery has the unique advantage of providing an opportunity to close the patent foramen ovale, thereby preventing recurrent paradoxical embolism.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey

    Tiryakioglu Osman & Toktas Faruk

  2. Department of Cardiology, Bursa Acibadem Hospital, Bursa, Turkey

    Tiryakioglu Selma Kenar

Authors
  1. Tiryakioglu Osman
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  2. Tiryakioglu Selma Kenar
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  3. Toktas Faruk
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Correspondence to Tiryakioglu Osman.

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Osman, T., Kenar, T.S. & Faruk, T. Simultaneous systemic and pulmonary embolism. Indian J Thorac Cardiovasc Surg 23, 208–210 (2007). https://doi.org/10.1007/s12055-007-0039-0

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  • DOI: https://doi.org/10.1007/s12055-007-0039-0

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