• Tex Heart Inst J · Jan 2008

    Case Reports

    Thrombus straddling an atrial septal defect: surgical prevention of massive pulmonary and systemic embolization.

    • Igor E Konstantinov, Pankaj Saxena, Ruth Blackham, Trenton Barrett, Chris Finn, and Mark A J Newman.
    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, University of Western Australia, Perth, Western Australia 6009, Australia. konstantinov.igor@alumni.mayo.edu
    • Tex Heart Inst J. 2008 Jan 1; 35 (4): 475-6.

    AbstractA large thrombus entrapped in an atrial septal defect is a rare condition that can lead to life-threatening systemic and pulmonary embolization. The use of thrombolysis may prove dangerous to the patient. Herein, we describe the emergency surgical management that contributed to a successful outcome in a 67-year-old man who was found to have a 23-cm-long thrombus across an atrial septal defect.

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