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Intracardiac Thrombosis in Multiple Chambers and Descending Aorta Manifested as Systemic and Pulmonary Thromboembolism
Author(s) -
Hsu ChihHsin,
Chao TingHsing,
Tsai WeiChuan,
Li WeiTing,
Liu PingYen,
Lin LiJen,
Chen JyhHong,
Tsai LiangMiin
Publication year - 2005
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2005.40039.x
Subject(s) - medicine , patent foramen ovale , cardiology , thrombus , descending aorta , pulmonary embolism , thrombosis , transesophageal echocardiogram , intracardiac injection , embolism , aorta , stroke (engine) , circulatory collapse , hypoxemia , mechanical engineering , migraine , engineering
We report a case with multiple thrombosis that underwent sudden circulatory collapse due to acute pulmonary embolism and ischemic stroke. Further confirmed by transesophageal echocardiography, the thrombus in both atria was detected by transthoracic echocardiography. In addition, patent foramen ovale and another thrombus in the descending aorta were readily identified by transesophageal echocardiography. Aspirin was prescribed and thrombi disappeared 1 month later. Our case report suggests that patients undergoing sudden collapse with unexplained hypoxemia and new neurological deficit secondary to coexistence of pulmonary and systemic embolism should be promptly evaluated by echocardiography, especially transesophageal one, with high suspicion for paradoxical embolism.