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European Journal of Echocardiography Advance Access published online on February 19, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen013
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Published on behalf of the European Society of Cardiography. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Caught in the act: entrapped embolus through a patent foramen ovale

Alexander Hansen* and Helmut Kuecherer

Department of Cardiology and Angiology Kcinik Koesching, Krankenhausstr 19, 85092 Koesching

Received 4 October 2007; accepted after revision 18 November 2007.

* Corresponding author. Tel: 00498456; fax: 00498456. E-mail address: alexander.hansen{at}klinik-koesching.de


  Abstract

A patent foramen ovale (PFO) is detected frequently by transesophageal echocardiography. The diagnosis of paradoxical embolism is usually presumptive when arterial emboli occur in the appropriate clinical setting. Presumably, paradoxical embolism of small thrombi arise in the venous system and pass through the PFO during a transient right-to-left shunt; however, cases demonstrating a thrombus traversing the PFO are relatively few.

Keywords: thrombus; foramen ovale


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