Key result
Emergency surgical resection successfully removes a PFO thrombus-in-transit in a COVID-19 patient without neurological complications.
Demonstrates the successful emergency surgical management of a thrombus-in-transit caught in a patent foramen ovale in a patient with COVID-19 and pulmonary embolism.
May support emergency surgery for PFO thrombus-in-transit in COVID-19; hypothesis-generating pending larger series.
We report the case of a 31‐year‐old male with COVID‐19 and bilateral central pulmonary embolism. Following interventional thrombus aspiration, a transthoracic echocardiogram revealed the finding of a thrombus‐in‐transit stuck in the patent foramen ovale. Emergency surgical resection was performed without complications. The patient could be discharged without any neurological impairment.
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Estler et al. (2026) studied this question. A thrombus-in-transit stuck in a patent foramen ovale in a 31-year-old COVID-19 patient was successfully treated with emergency surgical resection without neurological complications.
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