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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Veröffentlicht in:Case reports in emergency medicine 2023-08, Vol.2023, p.1-5
Hauptverfasser: Nakamura, Eiji, Takagi, Kazuyoshi, Saku, Kousuke, Negoto, Shinya, Anegawa, Tomoyuki, Imai, Shinichi, Otsuka, Hiroyuki, Hiromatsu, Shinichi, Tayama, Eiki
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container_title Case reports in emergency medicine
container_volume 2023
creator Nakamura, Eiji
Takagi, Kazuyoshi
Saku, Kousuke
Negoto, Shinya
Anegawa, Tomoyuki
Imai, Shinichi
Otsuka, Hiroyuki
Hiromatsu, Shinichi
Tayama, Eiki
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.
doi_str_mv 10.1155/2023/8829652
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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 &amp; 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 &amp; Sons, Inc.</rights><rights>Copyright © 2023 Eiji Nakamura et al. 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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. 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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.</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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source Wiley Online Library Open Access; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access
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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