Key result
Massive PE with a biatrial thrombus entrapped in a PFO highlights paradoxical systemic embolization risk.
Case Report (n=1)
Highlights a rare and high-risk clinical scenario of a biatrial thrombus entrapped in a patent foramen ovale in the setting of massive pulmonary embolism.
Alerts clinicians to paradoxical embolization risk in massive PE with PFO thrombus; leaves optimal management open for prospective study.
Thrombus development in cardiac chambers increases the risk of mortality, compared to pulmonary embolism alone, and can require change in therapy. In the presence of patent foramen ovale, paradoxical systemic embolization can occur associated with a higher incidence of death and embolic complications. Herein, we present a case of pulmonary embolism concomitant a right atrial huge thrombus entrapped in patent foramen ovale and prolapsing into the left heart chambers.
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Emir Derviş (2018) conducted a case report in Massive pulmonary embolism with biatrial thrombus entrapped by patent foramen ovale (n=1). A case report describes a patient with massive pulmonary embolism and a large biatrial thrombus entrapped in a patent foramen ovale, highlighting the risk of paradoxical systemic embolization.
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