Large Thrombus Entrapped in a Patent Foramen Ovale during Inferior Vena Cava Filter Protection for Venous Thromboembolism
Background. A large thrombus entrapped in the patent foramen ovale (PFO) is an extremely rare condition. Moreover, it is considered even rarer after temporary inferior vena cava filter (TIVCF) placement for the prevention of fatal pulmonary embolism due to venous thromboembolism (VTE). Case Report....
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description | Background. A large thrombus entrapped in the patent foramen ovale (PFO) is an extremely rare condition. Moreover, it is considered even rarer after temporary inferior vena cava filter (TIVCF) placement for the prevention of fatal pulmonary embolism due to venous thromboembolism (VTE). Case Report. A 58-year-old man presented with syncope following chest pain and dyspnea due to PE exacerbation during TIVCF protection, which then led to cardiogenic shock. Echocardiography revealed a large thrombus entrapped in the PFO, and computed tomography (CT) showed a bilateral pulmonary artery embolism. The patient was treated with open surgical embolectomy for a pulmonary artery thrombus and PFO thrombus with simultaneous closure of the PFO. The patient’s postoperative course was uneventful. Results and Conclusion. Surgical embolectomy was useful with respect to the feasibility of resection of both intracardiac thrombus and pulmonary artery thrombus performed simultaneously, contributing to the prevention of systemic embolisms, and echocardiography plays an important role for early diagnosis. |
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A large thrombus entrapped in the patent foramen ovale (PFO) is an extremely rare condition. Moreover, it is considered even rarer after temporary inferior vena cava filter (TIVCF) placement for the prevention of fatal pulmonary embolism due to venous thromboembolism (VTE). Case Report. A 58-year-old man presented with syncope following chest pain and dyspnea due to PE exacerbation during TIVCF protection, which then led to cardiogenic shock. Echocardiography revealed a large thrombus entrapped in the PFO, and computed tomography (CT) showed a bilateral pulmonary artery embolism. The patient was treated with open surgical embolectomy for a pulmonary artery thrombus and PFO thrombus with simultaneous closure of the PFO. The patient’s postoperative course was uneventful. Results and Conclusion. Surgical embolectomy was useful with respect to the feasibility of resection of both intracardiac thrombus and pulmonary artery thrombus performed simultaneously, contributing to the prevention of systemic embolisms, and echocardiography plays an important role for early diagnosis.</description><identifier>ISSN: 2090-648X</identifier><identifier>EISSN: 2090-6498</identifier><identifier>DOI: 10.1155/2023/8829652</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Blood clots ; Case Report ; Case reports ; Dyspnea ; Hypothermia ; Nitric oxide ; Prevention ; Pulmonary arteries ; Pulmonary embolism ; Pulmonary embolisms ; Pulmonary hypertension ; Rivaroxaban ; Surgery ; Thromboembolism ; Veins & arteries</subject><ispartof>Case reports in emergency medicine, 2023-08, Vol.2023, p.1-5</ispartof><rights>Copyright © 2023 Eiji Nakamura et al.</rights><rights>COPYRIGHT 2023 John Wiley & Sons, Inc.</rights><rights>Copyright © 2023 Eiji Nakamura et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2023 Eiji Nakamura et al. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2622-b3c4fc4c8ea42fa71e1ae5edad40ddbfb6d34a00324123e4802e99b452828693</cites><orcidid>0009-0003-1791-2751</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484647/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484647/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><contributor>Inoue, Yoshito</contributor><contributor>Yoshito Inoue</contributor><creatorcontrib>Nakamura, Eiji</creatorcontrib><creatorcontrib>Takagi, Kazuyoshi</creatorcontrib><creatorcontrib>Saku, Kousuke</creatorcontrib><creatorcontrib>Negoto, Shinya</creatorcontrib><creatorcontrib>Anegawa, Tomoyuki</creatorcontrib><creatorcontrib>Imai, Shinichi</creatorcontrib><creatorcontrib>Otsuka, Hiroyuki</creatorcontrib><creatorcontrib>Hiromatsu, Shinichi</creatorcontrib><creatorcontrib>Tayama, Eiki</creatorcontrib><title>Large Thrombus Entrapped in a Patent Foramen Ovale during Inferior Vena Cava Filter Protection for Venous Thromboembolism</title><title>Case reports in emergency medicine</title><description>Background. A large thrombus entrapped in the patent foramen ovale (PFO) is an extremely rare condition. Moreover, it is considered even rarer after temporary inferior vena cava filter (TIVCF) placement for the prevention of fatal pulmonary embolism due to venous thromboembolism (VTE). Case Report. A 58-year-old man presented with syncope following chest pain and dyspnea due to PE exacerbation during TIVCF protection, which then led to cardiogenic shock. Echocardiography revealed a large thrombus entrapped in the PFO, and computed tomography (CT) showed a bilateral pulmonary artery embolism. The patient was treated with open surgical embolectomy for a pulmonary artery thrombus and PFO thrombus with simultaneous closure of the PFO. The patient’s postoperative course was uneventful. Results and Conclusion. Surgical embolectomy was useful with respect to the feasibility of resection of both intracardiac thrombus and pulmonary artery thrombus performed simultaneously, contributing to the prevention of systemic embolisms, and echocardiography plays an important role for early diagnosis.</description><subject>Blood clots</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Dyspnea</subject><subject>Hypothermia</subject><subject>Nitric oxide</subject><subject>Prevention</subject><subject>Pulmonary arteries</subject><subject>Pulmonary embolism</subject><subject>Pulmonary embolisms</subject><subject>Pulmonary hypertension</subject><subject>Rivaroxaban</subject><subject>Surgery</subject><subject>Thromboembolism</subject><subject>Veins & arteries</subject><issn>2090-648X</issn><issn>2090-6498</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kV1rHCEUhofSQEOau_4AoZftJn7NjF6VsGSTwEJysYTeiaPHXcOMbnVmS_59XWZJCZQqonie856jb1V9IfiKkLq-ppiyayGobGr6oTqnWOJFw6X4-HYWPz9Vlzm_4DKamrC2Pa9e1zptAW12KQ7dlNFtGJPe78EiH5BGT3qEMKJVTHqAgB4Pugdkp-TDFj0EB8nHhJ4haLTUB41Wvh8hoacURzCjjwG5OR6L9FwjQlm9z8Pn6szpPsPlab-oNqvbzfJ-sX68e1jerBeGNpQuOma4M9wI0Jw63RIgGmqw2nJsbee6xjKuMWaUE8qAC0xByo7XVFDRSHZR_Zhl91M3gDVwfGCv9skPOr2qqL16Hwl-p7bxoAjmgje8LQpfTwop_pogj-olTimUnlWpwLCUAsu_1LZ8kfLBxaJmBp-NuhGEU8Jw2xTq6h9UmRYGb2IA58v9u4Tvc4JJMecE7q1zgtXRd3X0XZ18L_i3Gd_5YPVv_3_6D7ZErTg</recordid><startdate>20230831</startdate><enddate>20230831</enddate><creator>Nakamura, Eiji</creator><creator>Takagi, Kazuyoshi</creator><creator>Saku, Kousuke</creator><creator>Negoto, Shinya</creator><creator>Anegawa, Tomoyuki</creator><creator>Imai, Shinichi</creator><creator>Otsuka, Hiroyuki</creator><creator>Hiromatsu, Shinichi</creator><creator>Tayama, Eiki</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0003-1791-2751</orcidid></search><sort><creationdate>20230831</creationdate><title>Large Thrombus Entrapped in a Patent Foramen Ovale during Inferior Vena Cava Filter Protection for Venous Thromboembolism</title><author>Nakamura, Eiji ; Takagi, Kazuyoshi ; Saku, Kousuke ; Negoto, Shinya ; Anegawa, Tomoyuki ; Imai, Shinichi ; Otsuka, Hiroyuki ; Hiromatsu, Shinichi ; Tayama, Eiki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2622-b3c4fc4c8ea42fa71e1ae5edad40ddbfb6d34a00324123e4802e99b452828693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blood clots</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Dyspnea</topic><topic>Hypothermia</topic><topic>Nitric oxide</topic><topic>Prevention</topic><topic>Pulmonary arteries</topic><topic>Pulmonary embolism</topic><topic>Pulmonary embolisms</topic><topic>Pulmonary hypertension</topic><topic>Rivaroxaban</topic><topic>Surgery</topic><topic>Thromboembolism</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Eiji</creatorcontrib><creatorcontrib>Takagi, Kazuyoshi</creatorcontrib><creatorcontrib>Saku, Kousuke</creatorcontrib><creatorcontrib>Negoto, Shinya</creatorcontrib><creatorcontrib>Anegawa, Tomoyuki</creatorcontrib><creatorcontrib>Imai, Shinichi</creatorcontrib><creatorcontrib>Otsuka, Hiroyuki</creatorcontrib><creatorcontrib>Hiromatsu, Shinichi</creatorcontrib><creatorcontrib>Tayama, Eiki</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Case reports in emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Eiji</au><au>Takagi, Kazuyoshi</au><au>Saku, Kousuke</au><au>Negoto, Shinya</au><au>Anegawa, Tomoyuki</au><au>Imai, Shinichi</au><au>Otsuka, Hiroyuki</au><au>Hiromatsu, Shinichi</au><au>Tayama, Eiki</au><au>Inoue, Yoshito</au><au>Yoshito Inoue</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Large Thrombus Entrapped in a Patent Foramen Ovale during Inferior Vena Cava Filter Protection for Venous Thromboembolism</atitle><jtitle>Case reports in emergency medicine</jtitle><date>2023-08-31</date><risdate>2023</risdate><volume>2023</volume><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>2090-648X</issn><eissn>2090-6498</eissn><abstract>Background. A large thrombus entrapped in the patent foramen ovale (PFO) is an extremely rare condition. Moreover, it is considered even rarer after temporary inferior vena cava filter (TIVCF) placement for the prevention of fatal pulmonary embolism due to venous thromboembolism (VTE). Case Report. A 58-year-old man presented with syncope following chest pain and dyspnea due to PE exacerbation during TIVCF protection, which then led to cardiogenic shock. Echocardiography revealed a large thrombus entrapped in the PFO, and computed tomography (CT) showed a bilateral pulmonary artery embolism. The patient was treated with open surgical embolectomy for a pulmonary artery thrombus and PFO thrombus with simultaneous closure of the PFO. The patient’s postoperative course was uneventful. Results and Conclusion. Surgical embolectomy was useful with respect to the feasibility of resection of both intracardiac thrombus and pulmonary artery thrombus performed simultaneously, contributing to the prevention of systemic embolisms, and echocardiography plays an important role for early diagnosis.</abstract><cop>New York</cop><pub>Hindawi</pub><doi>10.1155/2023/8829652</doi><tpages>5</tpages><orcidid>https://orcid.org/0009-0003-1791-2751</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Blood clots Case Report Case reports Dyspnea Hypothermia Nitric oxide Prevention Pulmonary arteries Pulmonary embolism Pulmonary embolisms Pulmonary hypertension Rivaroxaban Surgery Thromboembolism Veins & arteries |
title | Large Thrombus Entrapped in a Patent Foramen Ovale during Inferior Vena Cava Filter Protection for Venous Thromboembolism |
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