Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale
This is the case of a 25-year-old obese man who presented with acute shortness of breath, chest pain, and palpitations. Of note, he lives a sedentary lifestyle and was recently hospitalized for incision and drainage of a left foot abscess. On presentation he was tachypnoeic, tachycardiac, and hypoxi...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/6752709 |
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| author | Fitzgerald Shepherd Ashley White-Stern Oloruntobi Rahaman Damian Kurian Karen Simon |
| author_facet | Fitzgerald Shepherd Ashley White-Stern Oloruntobi Rahaman Damian Kurian Karen Simon |
| author_sort | Fitzgerald Shepherd |
| collection | DOAJ |
| description | This is the case of a 25-year-old obese man who presented with acute shortness of breath, chest pain, and palpitations. Of note, he lives a sedentary lifestyle and was recently hospitalized for incision and drainage of a left foot abscess. On presentation he was tachypnoeic, tachycardiac, and hypoxic but blood pressure was stable. Laboratory studies were significant for elevated D-dimer and mildly increased troponin. On further investigation he was found to have a saddle pulmonary embolism with massive clot burden. Echocardiogram revealed thrombus in transit and McConnell’s sign. He underwent surgical embolectomy and closure of a patent foramen ovale. This is a particularly rare case, especially in such a young patient. Because this is a rare diagnosis, with insufficient data, there is no formally established treatment guideline. However, in patients who are good surgical candidates, studies have shown better outcome with surgical embolectomy as compared to anticoagulation alone or thrombolysis. |
| format | Article |
| id | doaj-art-c06219cafb0843afbdfbfbfedc0c5fff |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-c06219cafb0843afbdfbfbfedc0c5fff2025-02-03T06:01:45ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/67527096752709Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen OvaleFitzgerald Shepherd0Ashley White-Stern1Oloruntobi Rahaman2Damian Kurian3Karen Simon4Harlem Hospital Center, New York City, NY, USAColumbia University Medical Center, New York City, NY, USAHarlem Hospital Center, New York City, NY, USADepartment of Cardiology, Harlem Hospital Center, New York City, NY, USAHarlem Hospital Center, New York City, NY, USAThis is the case of a 25-year-old obese man who presented with acute shortness of breath, chest pain, and palpitations. Of note, he lives a sedentary lifestyle and was recently hospitalized for incision and drainage of a left foot abscess. On presentation he was tachypnoeic, tachycardiac, and hypoxic but blood pressure was stable. Laboratory studies were significant for elevated D-dimer and mildly increased troponin. On further investigation he was found to have a saddle pulmonary embolism with massive clot burden. Echocardiogram revealed thrombus in transit and McConnell’s sign. He underwent surgical embolectomy and closure of a patent foramen ovale. This is a particularly rare case, especially in such a young patient. Because this is a rare diagnosis, with insufficient data, there is no formally established treatment guideline. However, in patients who are good surgical candidates, studies have shown better outcome with surgical embolectomy as compared to anticoagulation alone or thrombolysis.http://dx.doi.org/10.1155/2017/6752709 |
| spellingShingle | Fitzgerald Shepherd Ashley White-Stern Oloruntobi Rahaman Damian Kurian Karen Simon Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale Case Reports in Cardiology |
| title | Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale |
| title_full | Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale |
| title_fullStr | Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale |
| title_full_unstemmed | Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale |
| title_short | Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale |
| title_sort | saddle pulmonary embolism with thrombus in transit across a patent foramen ovale |
| url | http://dx.doi.org/10.1155/2017/6752709 |
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