Abstract
A 58-year-old male presented with a hemodynamically significant pulmonary embolism. Computed tomography angiogram revealed a saddle embolus in the main pulmonary artery with extensive clot burden affecting all lobes and right heart strain. Transthoracic echocardiogram displayed a dilated right ventricle with reduced systolic function. The patient was scheduled for pulmonary embolectomy. The intraoperative transesophageal echocardiogram (TEE) demonstrated a mobile left atrial thrombus that was missed on previous imaging. After removal of the thrombi, TEE showed a patent foramen ovale (PFO). The left atrial thrombus passed across the PFO secondary to increased right heart and pulmonary pressures.
Original language | English (US) |
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Pages (from-to) | 87-89 |
Number of pages | 3 |
Journal | Annals of Cardiac Anaesthesia |
Volume | 23 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2020 |
Keywords
- Left atrial thrombus
- patent foramen ovale
- pulmonary embolism
- right ventricular failure
- right-to-left shunt
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Anesthesiology and Pain Medicine