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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
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Double-edged sword in the heart: trapped deep venous thrombus in a patent foramen ovale

Sadik Acikel1, Ahmet G Ertem, Ugursay Kiziltepe

  • 1Departments of Cardiology and Cardiovascular Surgery, Ministry of Health Dişkapi Yildirim Beyazit Research and Educational Hospital, Ankara, Turkey. sadik.acikel@tkd.org.tr

Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis
|August 25, 2012
PubMed

Trapped thrombus in a patent foramen ovale is a rare condition. Echocardiography is the main tool for diagnosis and for determination of the treatment to choose. There are a number of treatment options for trapped deep venous thrombus in a patent foramen ovale, including surgical thrombectomy, thrombolytics, and anticoagulant therapy. All patients should be evaluated individually, because the systemic and pulmonary thromboembolism risk of all treatment options is like a 'double-edged sword'. Here, we report a case of a patient with trapped thrombus in the patent foramen ovale detected by echocardiography, and successfully treated with surgical thrombectomy under extracorporeal circulation.

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