Captured in the act: Thrombus crossing patent-foramen-ovale

Jiménez-Brítez, G.; Flores-Umanzor, E.; Freixa, X.

doi:10.1016/j.rceng.2019.02.004

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However, approximately 30% of ischemic strokes are defined as cryptogenic, and half of patients younger than 60 years with cryptogenic stroke have PFO. The postulated pathophysiological mechanisms for explaining the onset of stroke in patients with PFO include the passage of small thrombi from the venous to the arterial territory through foramen and the formation of microthrombi in the foramen itself.We present a case of a 45-year-old man who presented an ischemic stroke of the left terminal internal carotid artery, who underwent endovascular treatment with mechanical embolectomy, resulting in complete recanalization. A transthoracic echocardiogram was performed on admission, revealing an aneurysm of the interatrial septum, with an echogenic mass in the right atrium around the interatrial septum suggestive of thrombus (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and C), with the thrombus extending through the PFO to the left atrium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B and D and video, supplementary material). In the context of a young patient with PFO and with the image of a thrombus passing to the left cavities, we performed percutaneous closure of the PFO.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-09-22" "fechaAceptado" => "2018-10-28" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Jiménez-Brítez G, Flores-Umanzor E, Freixa X. Capturado en el acto: trombo cruzando foramen-oval-permeable. Rev Clin Esp. 2019;219:344–345." ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "The following are Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1528 "Ancho" => 1500 "Tamanyo" => 166523 ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 356891 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021900000006/v1_201907300655/S225488741930030X/v1_201907300655/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000006/v1_201907300655/S225488741930030X/v1_201907300655/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488741930030X?idApp=WRCEE"]

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Vol. 219. Issue 6.

Pages 344-345 (August - September 2019)

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