A thrombus in transit through a patent foramen ovale

Uzoma N. Ibebuogu, Rami N. Khouzam, Gyanendra Kumar Sharma, John W Thornton, Roshanak Robati, David Silverman

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Patent foramen ovale (PFO) is a congenital heart defect that may fi rst be diagnosed in adulthood and has a prevalence of 25% to 30%. Although many patients with PFO are asymptomatic and do not require treatment, paradoxical embolism can cause stroke or myocardial infarction. The authors report an unusual case of PFO with a transversing thrombus in an 80-year-old man. The patient's initial presentation appeared clinically as acute coronary syndrome, but he was subsequently diagnosed with a massive thrombus in transit via a PFO and pulmonary embolus leading to right-sided heart failure.

Original languageEnglish (US)
Pages (from-to)32-35
Number of pages4
JournalJournal of the American Academy of Physician Assistants
Issue number10
StatePublished - Jan 1 2014


  • Congenital heart defect
  • Hemodynamic abnormalities
  • Interatrial shunt
  • Patent foramen ovale
  • Pulmonary embolus
  • Thrombus

ASJC Scopus subject areas

  • Nurse Assisting


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