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European Journal of Echocardiography 2007 8(3):223-226; doi:10.1016/j.euje.2006.01.004
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Copyright © 2006, The European Society of Cardiology

Momentarily stuck in the foramen ovale

Maxime Roussellea, Pierre-Vladimir Ennezata,*, Jean-Marc Auberta, Julie Darchisa, Xavier Gonina, Daniel Lenicaa, Jean-Jacques Baucharta, Jean-Luc Auffraya, Virginia Gaxottea, Thierry H. LeJemtelc, Patrick Goldsteinb and Philippe Assemana

aCardiology Hospital, Lille, France
bEmergency Department, University Hospital, Lille, France
cTulane Medical School of Medicine, New Orleans, LA, USA

Received 25 October 2005; received in revised form 20 January 2006; accepted after revision 29 January 2006.

* Corresponding author. Cardiology Hospital, Bd Pr J. Leclercq, 59000 Lille, France. Tel.: +33 03 20 44 53 30; fax: +33 03 20 44 65 04. ennezat{at}yahoo.com


  Abstract

An 80-year-old woman was admitted for a diagnosis of severe pulmonary embolism. A large serpentine thrombus stuck in a patent foramen ovale (PFO) completely resolved without the patient experiencing any manifestation. The right renal artery was the final destination. Thromboaspiration was unsuccessful. Three months later, the patient was diagnosed with a malignant melanoma and metastatic dissemination.

Keywords: Patent foramen ovale; Pulmonary embolism; Paradoxical renal embolism; Vascular ultrasound imaging


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