Deep Vein Thrombosis Research - DVT, Prevention, Effects, Causes, Air Travel, Blood Clots

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Removal of a left atrial thrombus adherent to a patent foramen ovale occluder.

Krieg P, Lapp H, Pethig K, Gummert JF, Bossert T

Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, Jena, Germany. peter.krieg@med.uni-jena.de

A 62-year-old man presented with bilateral thromboembolic occlusion of the lower leg arteries 8 months after closure of a patent foramen ovale with an Amplatzer patent-foramen-ovale occluder (AGA Medical Corporation, Plymouth, MN). Then he developed an acute myocardial ischemia. A left heart catheter revealed thromboembolic occlusion of the right coronary artery, and echocardiography demonstrated a thrombus attached to the device within the left atrium. Cerebral computer tomography showed a new ischemic lesion. In an emergency procedure, the device and the left atrial thrombus were removed, the septal defect was closed, and a coronary artery bypass grafting was performed. The patient was discharged from the hospital in stable condition.

Published 26 March 2007 in Ann Thorac Surg, 83(4): 1539-41.
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