Trapped thrombus in patent foramen ovale with pulmonary embolism and homonymous paracentral scotoma

Trapped thrombus in patent foramen ovale with pulmonary embolism and homonymous paracentral scotoma

Author Info

Corresponding Author
Kosuke Ujihira
Division of Cardio-thoracic surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 High Land Avenue, Madison, WI 53792, USA

A B S T R A C T

A 37-year-old female presented with persistent dyspnea and syncope. Computed-tomography scan detected saddle pulmonary embolism, and echocardiogram revealed extensive thrombus crossing the interatrial septum and prolapsing across the mitral valve into the left ventricle. Consequently, the patient was treated with surgical extraction of the thrombus and pulmonary embolectomy. She was discharged after un-eventful hospital stay save a dark grey spot in her central vision, which was diagnosed as homonymous paracentral scotoma caused by pre-operative cerebral infarction.

Article Info

Article Type
Case Report
Publication history
Received: Fri 05, Oct 2018
Accepted: Tue 23, Oct 2018
Published: Wed 14, Nov 2018
Copyright
© 2023 Kosuke Ujihira. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2018.03.011