Author + information
- Kiran Venkatesh,
- Andrew Slater,
- Ricardo Bello and
- Bryon Gentile
74 year-old man with recent left middle cerebral artery (MCA) stroke (CVA) was hospitalized for CVA symptoms. Imaging confirmed cerebral thrombosis and underwent successful mechanical thrombectomy.
Workup revealed diffuse right leg venous thrombosis and chest tomography angiography showed diffuse bilateral pulmonary emboli. Transthoracic echocardiogram (TTE) found a mobile mass traversing the interatrial septum (IAS).
Transesophageal echocardiogram confirmed the TTE and he underwent emergent surgical removal of a thrombosis with correction of a patent foramen ovale (Figure 1, 2). Postoperatively he has done well with mild residual symptoms of his CVAs.
Thrombus-in-transit is a rare and urgent echocardiography is key in the workup and management.
Poster Hall, Hall A/B
Saturday, March 10, 2018, 3:45 p.m.-4:30 p.m.
Session Title: FIT Clinical Decision Making: Non-Invasive Imaging and Valvular Heart Disease
Abstract Category: Non Invasive Imaging
Presentation Number: 1150-142
- 2018 American College of Cardiology Foundation