case_images: PMC8230155_01
case_images: Transesophageal echography showing a thrombus (a) straddling the patent foramen ovale (b), originating from the right cavities (a-c) and extending into the left ventricle (b and d). LA: left atrium, LV: left ventricle, RA: right atrium, LV: left ventricle
case_images: JCE-31-39-g001.jpg
case_images: PMC8230155_01_JCE-31-39-g001.jpg
case_images: F1
case_images: A computed tomographic angioscan demonstrated no pulmonary infiltrate but found a bilateral pulmonary embolism with a dilated right ventricle [Figure 1a]. It showed an in-transit mobile embolus originating from the right ventricle, straddling the PFO and extending to the left ventricle [Figure 1b-d].
case_images: Computed tomography scan showing a bilateral pulmonary embolism (a) with a thrombus in the right cavities (b and c), entrapped in the patent foramen ovale (b) and extending to the left cavities (b and d). LA: left atrium, LV: left ventricle, RA: right atrium, LV: left ventricle
case_images: JCE-31-39-g002.jpg
case_images: PMC8230155_01_JCE-31-39-g002.jpg
case_images: F2
case_images: A synchronized cardiac scan confirmed our hypotheses [Figure 2].
case_images: (Left) Images of the thrombus. (Right) Surgical view of the embolus. IVC: Inferior vena cava, LA: right atrium, PFO: Patent foramen ovale
case_images: JCE-31-39-g003.jpg
case_images: PMC8230155_01_JCE-31-39-g003.jpg
case_images: F3
case_images: A large surgical embolectomy [Figure 3] with a peripheral cardiopulmonary bypass was performed through sternotomy.