Intra-atrial thrombus after surgical closure of patent foramen ovale. |
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Authors: | C J Rodriguez M R Di Tullio R L Sacco S Homma |
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Institution: | Department of Medicine, Columbia College of Physicians & Surgeons, New York, NY, USA. |
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Abstract: | Patent foramen ovale (PFO) represents a potential path for paradoxical embolism and is associated with cryptogenic stroke. It has been suggested that because a PFO represents a repairable lesion (by surgical or transcatheter methods), repair may be the optimal treatment to prevent recurrent stroke. This report describes a patient with recurrent neurologic and peripheral embolic events, which occurred approximately 6 months after the surgical closure of a PFO. The diagnosis of an intra-atrial thrombus with a small residual PFO was made by subsequent transesophageal echocardiography. Thrombus formation at the closure site needs to be considered in a patient with recurrent embolic events after closure of a PFO. |
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