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European Journal of Echocardiography 2006 7(2):179-181; doi:10.1016/j.euje.2005.05.004
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Copyright © 2005, The European Society of Cardiology

Caught in the act: Serial, real time images of a thrombus traversing from the right to left atrium across a patent foramen ovale

Srihari Thanigaraj*, Alan Zajarias, Ali Valika, John Lasala and Julio E. Pérez

Cardiovascular Division, Washington University School of Medicine, 660 South Euclid Avenue, Box 8086, Saint Louis, MO 63110, USA

Received 20 December 2004; received in revised form 8 May 2005; accepted after revision 12 May 2005.

* Corresponding author. Tel.: +1 314 362 5363; fax: +1 314 747 4758. harit{at}im.wustl.edu


  Abstract

Aims To illustrate the association between a patent foramen ovale (PFO) and paradoxical embolization.

Methods and results We report a unique case of a paradoxical embolization across a PFO noted during a transesophageal echocardiographic study. Serial images demonstrate the thrombus migrating from the superior vena cava to the left atrium across the PFO.

Conclusions This case establishes the association between the PFO and paradoxical embolism unequivocally.

Keywords: Paradoxical embolism; Transesophageal echocardiography; Patent foramen ovale; Right to left shunt


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