Thrombus entrapped in patent foramen ovale and its unique treatment with low molecular weighted heparin

Öz

Patent foramen ovale (PFO) is a congenital heart defect that affects %25-30 population. PFO can be cathegorized as most common site for intra-cardiac shunting. But thrombus in PFO is extremely rare. There is no consensus of treatment of this situation. We present a case of thrombus in PFO which is standing in both sides of interatrial septum and unique treatment of this thrombus with low molecular weighted heparin.

Anahtar Kelimeler

• Patient Forman Ovale
• Thrombus
• Low Moleculer Weıghted Heparin

Patent foramen ovale içerisine sıkışmış trombüs'ün düşük molekül ağırlıklı heparin ile tedavisi

Öz

Patent foramen ovale (PFO), popülasyonun %25-30'unu etkileyen konjenital bir kalp defektidir. PFO, intrakardiyak şantın en sık görüldüğü yer olarak sınıflandırılabilir. Ancak PFO'da trombüs son derece nadirdir. Bu durumun tedavisi konusunda fikir birliği yoktur. Biz interatriyal septumun her iki yanında yer alan PFO'da trombüs gelişen bir olguyu ve bu trombüsün düşük molekül ağırlıklı heparin ile benzersiz tedavisini sunuyoruz.

Anahtar Kelimeler

• Patent Foramen Ovale
• Trombüs
• Düşük Moleküler Ağırlıklı Heparin

Kaynakça

1. Fauveau, E., Cohen, A., Bonnet, N., Gacem, K. & Lardoux, H. (2008). Surgical or medical treatment for thrombus straddling the patent foramen ovale: impending paradoxical embolism? Report of four clinical cases and literature review. Archives of cardiovascular diseases, 101(10), 637–644.
2. Myers, P. O., Bounameaux, H., Panos, A., Lerch, R. & Kalangos, A. (2010). Impending paradoxical embolism: systematic review of prognostic factors and treatment. Chest, 137(1), 164–170.
3. Nellessen, U., Daniel, W. G., Matheis, G., Oelert, H., Depping, K. & Lichtlen, P. R. (1985). Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery. Journal of the American College of Cardiology, 5(4), 1002–1004.
4. Seo, W. W., Kim, S. E., Park, M. S., Lee, J. H., Park, D. G., Han, K. R. & Oh, D. J. (2017). Systematic review of treatment for trapped thrombus in patent foramen ovale. Korean circulation journal, 47(5), 776–785.