Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism

A 58-year-old male presented with a hemodynamically significant pulmonary embolism. Computed tomography angiogram revealed a saddle embolus in the main pulmonary artery with extensive clot burden affecting all lobes and right heart strain. Transthoracic echocardiogram displayed a dilated right ventr...

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Autores principales: Dunn, Sarah, Dave, Nisha, Rodriguez-Blanco, Yiliam F, Aljure, Oscar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034210/
https://www.ncbi.nlm.nih.gov/pubmed/31929255
http://dx.doi.org/10.4103/aca.ACA_119_18
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author Dunn, Sarah
Dave, Nisha
Rodriguez-Blanco, Yiliam F
Aljure, Oscar
author_facet Dunn, Sarah
Dave, Nisha
Rodriguez-Blanco, Yiliam F
Aljure, Oscar
author_sort Dunn, Sarah
collection PubMed
description A 58-year-old male presented with a hemodynamically significant pulmonary embolism. Computed tomography angiogram revealed a saddle embolus in the main pulmonary artery with extensive clot burden affecting all lobes and right heart strain. Transthoracic echocardiogram displayed a dilated right ventricle with reduced systolic function. The patient was scheduled for pulmonary embolectomy. The intraoperative transesophageal echocardiogram (TEE) demonstrated a mobile left atrial thrombus that was missed on previous imaging. After removal of the thrombi, TEE showed a patent foramen ovale (PFO). The left atrial thrombus passed across the PFO secondary to increased right heart and pulmonary pressures.
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spelling pubmed-70342102020-03-09 Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism Dunn, Sarah Dave, Nisha Rodriguez-Blanco, Yiliam F Aljure, Oscar Ann Card Anaesth Case Report A 58-year-old male presented with a hemodynamically significant pulmonary embolism. Computed tomography angiogram revealed a saddle embolus in the main pulmonary artery with extensive clot burden affecting all lobes and right heart strain. Transthoracic echocardiogram displayed a dilated right ventricle with reduced systolic function. The patient was scheduled for pulmonary embolectomy. The intraoperative transesophageal echocardiogram (TEE) demonstrated a mobile left atrial thrombus that was missed on previous imaging. After removal of the thrombi, TEE showed a patent foramen ovale (PFO). The left atrial thrombus passed across the PFO secondary to increased right heart and pulmonary pressures. Wolters Kluwer - Medknow 2020 2020-01-07 /pmc/articles/PMC7034210/ /pubmed/31929255 http://dx.doi.org/10.4103/aca.ACA_119_18 Text en Copyright: © 2020 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Dunn, Sarah
Dave, Nisha
Rodriguez-Blanco, Yiliam F
Aljure, Oscar
Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title_full Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title_fullStr Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title_full_unstemmed Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title_short Incidental Finding of a Left Atrial Thrombus during Surgical Management of a Massive Pulmonary Embolism
title_sort incidental finding of a left atrial thrombus during surgical management of a massive pulmonary embolism
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034210/
https://www.ncbi.nlm.nih.gov/pubmed/31929255
http://dx.doi.org/10.4103/aca.ACA_119_18
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