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European Journal of Echocardiography 2008 9(1):155; doi:10.1016/j.euje.2007.05.003
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

A dumbbell thrombus entrapped in patent foramen ovale

Kamran Aghasadeghi and Reza Mollazadeh*

Cardiology Department, Nemazee Hospital, University of Medical Science, Zand Avenue, Shiraz, P.O. Box 71435-1414, Islamic Republic of Iran

Received 10 April 2007; accepted after revision 4 May 2007; online publish-ahead-of-print 9 July 2007.

* Corresponding author. Tel: +98 (0)917 313 3749; fax: +98 (0)711 6261089. E-mail address: mollazar{at}yahoo.com


   Abstract

A 75-year-old lady came to emergency room due to dizziness and presyncopal attacks during exertion since two days prior to admission. Transesophageal echocardiography revealed a thrombus like mass in right atrium traversing patent foramen ovale and extending to left atrium. Spiral chest CT scan showed bilateral pulmonary thromboemboli. Operative and pathological findings confirmed the diagnosis.

Keywords: Pulmonary; Emboli; Paradoxical; Foramen ovale


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