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Absolute Blood Flow in the Left Main Coronary Artery and Its Distribution.

Candreva, Alessandro; Gallinoro, Emanuele; Fournier, Stéphane; Izaga, Elena; Finet, Gérard; De Bruyne, Bernard; Gutiérrez-Barrios, Alejandro.

JACC Cardiovasc Interv ; 14(4): 482-484, 2021 02 22.

Article in English | MEDLINE | ID: mdl-33602447

Subject(s)

Coronary Circulation , Coronary Vessels , Coronary Angiography , Coronary Vessels/diagnostic imaging , Hemodynamics , Humans , Treatment Outcome

Multiple Intracardiac and Paradoxical Thrombi Caused by a Thrombus Entrapped in a Patent Foramen Ovale.

Izaga, Elena; Gutiérrez-Barrios, Alejandro; Corrales, Manuel; Gheorghe, Livia; Calle-Pérez, Germán.

Can J Cardiol ; 36(12): 1978.e5-1978.e8, 2020 12.

Article in English | MEDLINE | ID: mdl-32890638

ABSTRACT

Patent foramen ovale (PFO) usually represents a benign incidental finding. Occasionally, a PFO can open widely, resulting in paradoxical embolism, with potentially devastating consequence. Floating intracardiac thrombi and thrombus straddling a PFO are 2 extremely rare conditions associated with a dismal prognosis and encountered almost exclusively in the setting of pulmonary embolism (PE). We report the unusual case of a 47-year-old man with an unremarkable medical history who presented with a bilateral PE and multiple paradoxical and intracardiac floating thrombi in the setting of a thrombus entrapped in a PFO.

Subject(s)

Cardiac Surgical Procedures , Embolism, Paradoxical , Foramen Ovale, Patent , Heparin/administration & dosage , Pulmonary Embolism , Septal Occluder Device , Cardiac Imaging Techniques/methods , Cardiac Surgical Procedures/instrumentation , Cardiac Surgical Procedures/methods , Computed Tomography Angiography/methods , Echocardiography/methods , Electrocardiography/methods , Embolism, Paradoxical/diagnosis , Embolism, Paradoxical/drug therapy , Embolism, Paradoxical/etiology , Fibrinolytic Agents/administration & dosage , Foramen Ovale, Patent/complications , Foramen Ovale, Patent/diagnostic imaging , Foramen Ovale, Patent/physiopathology , Foramen Ovale, Patent/surgery , Humans , Ischemic Attack, Transient/diagnosis , Ischemic Attack, Transient/drug therapy , Ischemic Attack, Transient/etiology , Lung/blood supply , Lung/diagnostic imaging , Male , Middle Aged , Preoperative Care/methods , Pulmonary Embolism/diagnosis , Pulmonary Embolism/drug therapy , Pulmonary Embolism/etiology , Treatment Outcome

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