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Management of thromboembolism-in-transit with pulmonary embolism

Echo Research & Practice volume 4, pages K47–K51 (2017)Cite this article

Summary

We present a rare complication of deep venous thrombosis with pulmonary embolism that threatened the patient with systemic embolization. A 36-year-old female was referred to the hospital after five days of progressive shortness of breath and chest pain. Preceding onset of symptoms, she had undergone surgery leading to reduced physical activity and had just returned from vacation by a long flight. Investigations with transthoracic and transesophageal echocardiography revealed a thromboembolism-in-transit across a patent foramen ovale. Thoracic CT showed submassive bilateral pulmonary embolism. Hemodynamic parameters were stable. The patient was treated surgically with extraction of the thrombus, closure of the foramen ovale and removal of the bilateral pulmonary emboli. She was discharged after an uneventful hospital stay.

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Authors and Affiliations

  1. Section of Cardiothoracic Surgery, Department of Heart Disease, Haukeland University Hospital, Bergen, Norway

    V. S. Ellensen MD PhD, T. Geisner MD & R. Haaverstad MD PhD

  2. Department of Heart Disease, Haukeland University Hospital, Bergen, Norway

    S. Saeed MD PhD

  3. Department of Clinical Science, University of Bergen, Bergen, Norway

    S. Saeed MD PhD & R. Haaverstad MD PhD

Authors
  1. V. S. Ellensen MD PhD
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  2. S. Saeed MD PhD
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  3. T. Geisner MD
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  4. R. Haaverstad MD PhD
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Corresponding author

Correspondence to V. S. Ellensen MD PhD.

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Ellensen, V.S., Saeed, S., Geisner, T. et al. Management of thromboembolism-in-transit with pulmonary embolism. Echo Res Pract 4, K47–K51 (2017). https://doi.org/10.1530/ERP-17-0043

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  • DOI: https://doi.org/10.1530/ERP-17-0043

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Echo Research & Practice

ISSN: 2055-0464