Spontaneous left atrial thrombus during patent foramen ovale closure

被引:4
|
作者
Hudsmith, Lucy [1 ]
Thorne, Sara [1 ]
Clift, Paul [1 ]
机构
[1] Queen Elizabeth Hosp, Birmingham B15 2TH, W Midlands, England
来源
关键词
Patent foramen ovale; Transoesphageal echocardiography; Stroke; Atrial septal aneurysm; Thrombus;
D O I
10.1093/ejechocard/jen186
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 52-year-old male smoker suffered a left-sided stroke. Bubble contrast echocardiography demonstrated an aneurysmal atrial septum and patent foramen ovale (PFO). The patient was referred for percutaneous closure of his PFO to reduce his risk of further stroke. Despite dual antiplatelet therapy and pre-procedural heparin, he developed a spontaneous thrombus during balloon sizing of the defect identified by transoesophageal echocardiography. The balloon was immediately withdrawn to the right side and removed. Periprocedural echocardiography using either transoesophageal or intracardiac echo is essential to monitor for this potential procedural complication of percutaneous PFO closure.
引用
收藏
页码:824 / 824
页数:1
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