Emergent pulmonary thromboembolectomy and atrial septal aneurysmectomy for intracardiac impending paradoxical embolism: An en bloc approach to prevent clot embolism and facilitate repair.
Ann Card Anaesth
; 24(4): 476-478, 2021.
Article
em En
| MEDLINE
| ID: mdl-34747758
ABSTRACT
Although a patent foramen ovale (PFO) is relatively common, confirmed reports of thrombus entrapped within a PFO are uncommon. Management of impending paradoxical embolism (IPE), also called a thrombus in transit, lacks consensus but includes systemic anticoagulation (e.g., heparin), systemic thrombolysis, or surgical thrombectomy. We present a case of IPE diagnosed with intraoperative transesophageal echocardiography (TEE) as well as a novel en bloc approach to atrial septal aneurysmectomy to minimize embolism and facilitate repair of the interatrial septum. Timely use of intraoperative TEE may aid in diagnosis and help guide the surgical approach to minimize embolic risk with an IPE.
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Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
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Trombose
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Embolia Paradoxal
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Forame Oval Patente
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Comunicação Interatrial
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article