Thrombus in transit through a patent foramen ovale, an unusual cause of cardiac embolism Article Swipe

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Patent foramen ovale Medicine Thrombus Paradoxical embolism Embolism Stroke (engine) Cardiology Cerebral embolism Internal medicine Surgery Mechanical engineering Engineering Migraine

Carlos Minguito‐Carazo , Tomás Benito‐González , Julio Echarte‐Morales , Miguel Rodríguez-Santamarta , Mario Castaño , Felipe Fernández‐Vázquez ·

YOU? · · 2020 · Open Access · · DOI: https://doi.org/10.37616/2212-5043.1021 · OA: W2996402922

A 78-year-old woman with a history of transient ischemic attack was admitted for sudden aphasia. In order to assess the potential cardioembolic source an echocardiogram was performed, which revealed a large mass consistent with a thrombus in transit through a patent foramen ovale. Because of the high risk of systemic embolism, emergent surgical thrombectomy was performed with the intention to discharge the patient safely without any new embolic events. This case report highlights the importance of echocardiography in the evaluation of cardioembolic stroke and the requirement of an emergent approach in case of impending paradoxical embolism.