Intracardiac thrombus trapped in a patent foramen ovale

EuroIntervention 2016;12:119. DOI: 10.4244/EIJV12I1A20

Oezguer A. Onur
Oezguer A. Onur1,2*, MD; Ferdinand Kuhn-Régnier3, MD; Christoph Kabbasch4, MD; Gereon R. Fink1,2, MD; Jochen Müller-Ehmsen5, MD
1. Department of Neurology, University Hospital of Cologne, Cologne, Germany; 2. Cognitive Neuroscience (INM-3), Institute of Neuroscience and Medicine, Research Center Julich, Julich, Germany; 3. Department of Cardiothoracic Surgery, University Hospital

A 57-year-old woman was admitted to the University Hospital of Cologne after her husband had found her unconscious. Upon admission, gaze deviation to the right was observed. A cerebral CT scan revealed right hemispheric hypoperfusion (Panel A) and thrombolysis was performed. Subsequently, transoesophageal echocardiography showed a thrombus, which was trapped in a patent foramen ovale (Panel B, Moving image 1). A CT scan of the thorax and the abdomen revealed multiple pulmonary embolisms and an infarction of the spleen (Panel C, Panel D). A thrombectomy of the thrombus, with a length of 12 cm, and a closure of the patent ...

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