Transit Thrombus in a Patent Foramen Ovale — Time Is Running Out: a Case Report

Abstract We report a case of large thrombus entrapped in patent foramen ovale after bariatric surgery and pulmonary embolism. The 60-year-old female patient was admitted to hospital as an emergency syncope. She suffered from metabolic syndrome with obesity (height: 180 cm, weight: 170 kg, BMI: 49.4 kg/m 2 ) insulin-dependent diabetes mellitus type 2. had (implantation gastric balloon) 4 weeks prior hospitalization. A transthoracic echocardiography performed which indicated the extensions approximately 10 cm both right left heart. Surgical embolectomy remove circa 20-cm-long thrombus.At time surgery, only transit remained atrium. Thus, during between diagnosis gradually migrated 8 cm. Pulmonary closure were same procedure. recovered completely without any complications discharged 11 postoperatively. This demonstrates importance urgent medical decision-making thrombi — is running out.