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Quadri-Chamber Thrombi and Impending Paradoxical Embolism: Thrombus in Transit Through Patent Foramen Ovale
Journal article   Peer reviewed

Quadri-Chamber Thrombi and Impending Paradoxical Embolism: Thrombus in Transit Through Patent Foramen Ovale

Samier Deen, Paul Gilbert, Kush Agrawal and Abby Borhan
JACC: Case Reports, Vol.29(5)
2024

Abstract

brain natriuretic peptide D dimer diamorphine heparin methamphetamine troponin I adult Article attention deficit hyperactivity disorder blood pressure body mass breathing rate case report clinical article clinical feature computed tomographic angiography depression differential diagnosis disease exacerbation dyspnea electrocardiogram exertional dyspnea female follow up heart ejection fraction heart right bundle branch block human image analysis inferior cava vein intracardiac thrombosis laboratory test low back pain lung embolism medical history obesity onset age oxygen saturation paradoxical embolism patent foramen ovale physical examination pulmonary endarterectomy right ventricular enlargement right ventricular pressure sinus tachycardia stair climbing substance abuse T wave inversion tobacco dependence transthoracic echocardiography tricuspid regurgitation velocity vital sign
Thrombus-in-transit through patent foramen ovale (PFO) is an extremely rare diagnosis that can often be associated with pulmonary embolism. Currently, data exists to guide management options; however, there is no medical consensus with regard to the optimal treatment strategy for thrombus-in-transit through PFO. © 2024 The Authors
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https://doi.org/10.1016/j.jaccas.2024.102226View
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