Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome

Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke,...

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Detalles Bibliográficos
Autores principales: Gorgone, Matthew, Novelli, Enrico M., Patel, Simmi, Lamberty, Phillip E., De Castro, Laura M., Gladwin, Mark T., Maximous, Stephanie I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396226/
https://www.ncbi.nlm.nih.gov/pubmed/36017251
http://dx.doi.org/10.1016/j.rmcr.2022.101724
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author Gorgone, Matthew
Novelli, Enrico M.
Patel, Simmi
Lamberty, Phillip E.
De Castro, Laura M.
Gladwin, Mark T.
Maximous, Stephanie I.
author_facet Gorgone, Matthew
Novelli, Enrico M.
Patel, Simmi
Lamberty, Phillip E.
De Castro, Laura M.
Gladwin, Mark T.
Maximous, Stephanie I.
author_sort Gorgone, Matthew
collection PubMed
description Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and should be a routine component of the assessment of acutely decompensating patients.
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spelling pubmed-93962262022-08-24 Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome Gorgone, Matthew Novelli, Enrico M. Patel, Simmi Lamberty, Phillip E. De Castro, Laura M. Gladwin, Mark T. Maximous, Stephanie I. Respir Med Case Rep Case Report Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and should be a routine component of the assessment of acutely decompensating patients. Elsevier 2022-08-08 /pmc/articles/PMC9396226/ /pubmed/36017251 http://dx.doi.org/10.1016/j.rmcr.2022.101724 Text en © 2022 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Gorgone, Matthew
Novelli, Enrico M.
Patel, Simmi
Lamberty, Phillip E.
De Castro, Laura M.
Gladwin, Mark T.
Maximous, Stephanie I.
Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title_full Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title_fullStr Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title_full_unstemmed Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title_short Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
title_sort point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396226/
https://www.ncbi.nlm.nih.gov/pubmed/36017251
http://dx.doi.org/10.1016/j.rmcr.2022.101724
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