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Patent Foramen Ovale with a Straddling Thrombus.

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A large blood clot was found straddling the heart's patent foramen ovale, causing severe biventricular dysfunction and symptoms like shortness of breath.

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Area of Science:

  • Cardiology
  • Cardiovascular Medicine
  • Diagnostic Imaging

Background:

  • Elderly patients can present with complex cardiac conditions.
  • Shortness of breath and edema are common symptoms requiring thorough investigation.
  • Patent Foramen Ovale (PFO) is a potential pathway for thromboembolic events.

Purpose of the Study:

  • To report a rare case of a large intracardiac clot associated with a PFO.
  • To highlight the diagnostic utility of echocardiography in identifying complex cardiac masses.
  • To discuss the clinical implications of such findings in elderly patients.

Main Methods:

  • Case presentation of a 78-year-old male patient.
  • Diagnostic imaging utilizing echocardiography.
  • Clinical assessment of symptoms including shortness of breath and lower limb edema.

Main Results:

  • Echocardiogram revealed severely decreased biventricular function.
  • A large clot was identified straddling the patent foramen ovale.
  • The clot extended from the right atrium into the left atrium and ventricle.

Conclusions:

  • Intracardiac thrombus formation with PFO involvement can lead to significant hemodynamic compromise.
  • Echocardiography is crucial for diagnosing large intracardiac clots and assessing cardiac function.
  • Prompt recognition and management are essential in patients with complex cardiac presentations.