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- W1969322485 abstract "Nous rapportons le cas d'un homme admis pour embolie pulmonaire massive. L'échocardiographie transthoracique montrait un thrombus en forme de serpentin enclavé à travers le foramen ovale. En raison d'une défaillance circulatoire brutale, une thrombolyse intraveineuse de sauvetage fut administrée en urgence permettant une amélioration rapide du patient. Un contrôle échocardiographique précoce montra une disparition complète du thrombus intracardiaque sans anomalie du septum interauriculaire. Aucun thrombus veineux des membres inférieurs ne fut mis en évidence. En revanche, un scanner abdominal retrouva un cancer rénal droit. Un scanner cérébral montra des accidents vasculaires cérébraux ischémiques récents silencieux. Ce cas clinique nous a conduits à discuter de l'origine exacte d'un tel thrombus (simple migration d'une thrombose périphérique ou formation in situ) mais aussi sa prise en charge (héparinothérapie simple, thrombolyse, embolectomie chirurgicale, fermeture définitive du foramen ovale). We report the case of a man admitted for massive pulmonary embolism. Transthoracic echocardiography showed a serpentine thrombus in the right atrium across the foramen oval. Because of an acute worsening of the circulatory insufficiency, an intravenous thrombolysis was prescribed and the patient recovered progressively. An early control echocardiography showed the disappearing of the intracardiac thrombus and no evidence of abnormality of interatrial septum. While there was no evidence of venous thrombosis in legs, a renal cancer was diagnosed by echography. Silent stroke were highlighted at the scanner. This clinical case leads to discuss the origin of thrombus (in situ formation or thrombus migration) as well as the treatment (heparinotherapy, thrombolysis, surgical embolectomy, definitive closure of the foramen oval)." @default.
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- W1969322485 date "2006-01-01" @default.
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- W1969322485 title "Thrombus enclavé dans le foramen ovale responsable d'embolie pulmonaire et d'accident vasculaire cérébral" @default.
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- W1969322485 doi "https://doi.org/10.1016/j.ancard.2005.05.015" @default.
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