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Year : 2021  |  Volume : 31  |  Issue : 1  |  Page : 39-41

Acute pulmonary embolism and thrombus entrapped in the patent foramen ovale in a patient with COVID-19

1 Department of Cardiac Intensive Care, Louis Pradel Hospital, Hospices Civils de Lyon, Bron; Claude Bernard University Lyon 1, Villeurbanne, France
2 Department of Cardiac Surgery, Louis Pradel Cardiologic Hospital, Lyon, France

Correspondence Address:
Ahmad Hayek
Emergency Department and Cardiac Intensive Care Unit, Louis Pradel Hospital, 28 Avenue Doyen Lepine, 69677 Bron
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_122_20

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A 61-year-old patient presented for syncope and a 1-week history of fever. He was diagnosed with a COVID-19 infection without pulmonary injury associated with an intermediate-risk bilateral pulmonary embolism. Computed tomographic scan and transesophageal echography were performed confirming a mobile in-transit embolus, originating from the right cavities and extending to the right ventricle through the patent foramen ovale. The patient underwent a surgical embolectomy without complications. COVID-19 was found to be the only current risk factor in our patient. This could warrant consideration of extending thromboprophylaxis indication to COVID-19 patients with certain criteria even without hospitalization indication or pulmonary injury.

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