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Thrombus in transit across a patent foramen ovale in a patient with cerebrovascular accidents, pulmonary embolism, and deep vein thrombosis


1 Department of Cardiology, Baptist-Homestead Hospital, Homestead, Florida
2 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida
3 Division of Cardiology, Echocardiography Laboratory, Columbia University Mount Sinai Heart Institute, Miami Beach, Florida

Correspondence Address:
Nicholas Suraci
Department of Anesthesiology, 4300 Alton Road, Miami Beach - 33140, Florida
Florida
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_120_19

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Year : 2021  |  Volume : 24  |  Issue : 3  |  Page : 362-364

 

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The diagnosis of paradoxical emboli remains elusive in many cases. The causal association between the thrombotic source, the intracardiac shunt, and the final emboli location is seldom demonstrated. We present the case of a 42-year-old woman admitted to the hospital with a third stroke. The presence of a thrombus in transit through a patent foramen ovale (PFO), a deep vein thrombosis (DVT), bilateral pulmonary emboli, and an acute cerebral infarct were concurrently documented.






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1 Department of Cardiology, Baptist-Homestead Hospital, Homestead, Florida
2 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida
3 Division of Cardiology, Echocardiography Laboratory, Columbia University Mount Sinai Heart Institute, Miami Beach, Florida

Correspondence Address:
Nicholas Suraci
Department of Anesthesiology, 4300 Alton Road, Miami Beach - 33140, Florida
Florida
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_120_19

Rights and Permissions

The diagnosis of paradoxical emboli remains elusive in many cases. The causal association between the thrombotic source, the intracardiac shunt, and the final emboli location is seldom demonstrated. We present the case of a 42-year-old woman admitted to the hospital with a third stroke. The presence of a thrombus in transit through a patent foramen ovale (PFO), a deep vein thrombosis (DVT), bilateral pulmonary emboli, and an acute cerebral infarct were concurrently documented.






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