Intracardiac thrombosis in multiple chambers and descending aorta manifested as systemic and pulmonary thromboembolism

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2 Citations (Scopus)

Abstract

We report a case with multiple thrombosis that underwent sudden circulatory collapse due to acute pulmonary embolism and ischemic stroke. Further confirmed by transesophageal echocardiography, the thrombus in both atria was detected by transthoracic echocardiography. In addition, patent foramen ovale and another thrombus in the descending aorta were readily identified by transesophageal echocardiography. Aspirin was prescribed and thrombi disappeared 1 month later. Our case report suggests that patients undergoing sudden collapse with unexplained hypoxemia and new neurological deficit secondary to coexistence of pulmonary and systemic embolism should be promptly evaluated by echocardiography, especially transesophageal one, with high suspicion for paradoxical embolism.

Original languageEnglish
Pages (from-to)671-674
Number of pages4
JournalEchocardiography
Volume22
Issue number8
DOIs
Publication statusPublished - 2005 Sep 1

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Thoracic Aorta
Pulmonary Embolism
Transesophageal Echocardiography
Thrombosis
Paradoxical Embolism
Patent Foramen Ovale
Aspirin
Echocardiography
Shock
Stroke

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Intracardiac thrombosis in multiple chambers and descending aorta manifested as systemic and pulmonary thromboembolism",
abstract = "We report a case with multiple thrombosis that underwent sudden circulatory collapse due to acute pulmonary embolism and ischemic stroke. Further confirmed by transesophageal echocardiography, the thrombus in both atria was detected by transthoracic echocardiography. In addition, patent foramen ovale and another thrombus in the descending aorta were readily identified by transesophageal echocardiography. Aspirin was prescribed and thrombi disappeared 1 month later. Our case report suggests that patients undergoing sudden collapse with unexplained hypoxemia and new neurological deficit secondary to coexistence of pulmonary and systemic embolism should be promptly evaluated by echocardiography, especially transesophageal one, with high suspicion for paradoxical embolism.",
author = "Chin-Hsin Hsu and Ting-Hsing Chao and Wei-Chuan Tsai and Wei-Ting Lee and Ping-Yen Liu and Lin, {Li Jen} and Chen, {Jyh Hong} and Liang-Miin Tsai",
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T1 - Intracardiac thrombosis in multiple chambers and descending aorta manifested as systemic and pulmonary thromboembolism

AU - Hsu, Chin-Hsin

AU - Chao, Ting-Hsing

AU - Tsai, Wei-Chuan

AU - Lee, Wei-Ting

AU - Liu, Ping-Yen

AU - Lin, Li Jen

AU - Chen, Jyh Hong

AU - Tsai, Liang-Miin

PY - 2005/9/1

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N2 - We report a case with multiple thrombosis that underwent sudden circulatory collapse due to acute pulmonary embolism and ischemic stroke. Further confirmed by transesophageal echocardiography, the thrombus in both atria was detected by transthoracic echocardiography. In addition, patent foramen ovale and another thrombus in the descending aorta were readily identified by transesophageal echocardiography. Aspirin was prescribed and thrombi disappeared 1 month later. Our case report suggests that patients undergoing sudden collapse with unexplained hypoxemia and new neurological deficit secondary to coexistence of pulmonary and systemic embolism should be promptly evaluated by echocardiography, especially transesophageal one, with high suspicion for paradoxical embolism.

AB - We report a case with multiple thrombosis that underwent sudden circulatory collapse due to acute pulmonary embolism and ischemic stroke. Further confirmed by transesophageal echocardiography, the thrombus in both atria was detected by transthoracic echocardiography. In addition, patent foramen ovale and another thrombus in the descending aorta were readily identified by transesophageal echocardiography. Aspirin was prescribed and thrombi disappeared 1 month later. Our case report suggests that patients undergoing sudden collapse with unexplained hypoxemia and new neurological deficit secondary to coexistence of pulmonary and systemic embolism should be promptly evaluated by echocardiography, especially transesophageal one, with high suspicion for paradoxical embolism.

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