Patent foramen ovale (PFO) is a congenital heart defect that may first be diagnosed in adulthood and has a prevalence of 25% to 30%. Although many patients with PFO are asymptomatic and do not require treatment, paradoxical embolism can cause stroke or myocardial infarction. The authors report an unusual case of PFO with a transversing thrombus in an 80-year-old man. The patient's initial presentation appeared clinically as acute coronary syndrome, but he was subsequently diagnosed with a massive thrombus in transit via a PFO and pulmonary embolus leading to right-sided heart failure.
机构:
Yeungnam Univ, Dept Internal Med, Med Ctr, Div Cardiol, 170 Hyeonchung Ro, Daegu 42415, South KoreaYeungnam Univ, Dept Internal Med, Med Ctr, Div Cardiol, 170 Hyeonchung Ro, Daegu 42415, South Korea
Nam, Jong-Ho
Park, Jong-Seon
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机构:
Yeungnam Univ, Dept Internal Med, Med Ctr, Div Cardiol, 170 Hyeonchung Ro, Daegu 42415, South KoreaYeungnam Univ, Dept Internal Med, Med Ctr, Div Cardiol, 170 Hyeonchung Ro, Daegu 42415, South Korea