Key result
Emergency surgical removal of a 22 cm thromboembolus and closure of a patent foramen ovale successfully treated impending paradoxical embolism 11 days after coronary artery bypass grafting.
Case Report (n=1)
Emergency surgical embolectomy and PFO closure can be successfully performed for impending paradoxical embolism shortly after CABG.
May support surgical embolectomy with PFO closure for post-CABG impending paradoxical embolism; hypothesis-generating and should not yet change practice.
We describe a case of impending paradoxical embolism of a 22 cm long thromboembolus, straddling over a patent foramen ovale, detected by transthoracic and transesophageal echo 11 days after a coronary artery bypass operation. The patient underwent successful emergency removal of the clot and closure of the patent foramen ovale. A vena cava filter was placed because of new thrombi detected in deep veins of the legs.
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Mantovani et al. (2003) conducted a case report in Impending paradoxical embolism after coronary artery bypass grafting (n=1). Emergency surgical removal of clot, closure of patent foramen ovale, and vena cava filter placement was evaluated on Successful removal of clot and closure of patent foramen ovale. Emergency surgical removal of a 22 cm thromboembolus and closure of a patent foramen ovale successfully treated impending paradoxical embolism 11 days after coronary artery bypass grafting.
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