Bilateral Pulmonary Embolism with Bi-Atrial Cardiac Thrombi Entrapped in a Patent Foramen Ovale

Authors

Denise Mourad, Central Michigan University, Internal Medicine, Saginaw, Michigan, USAFollow
Fahd Eissa Mohamed, Central Michigan University, College of Medicine, Mount Pleasant, Michigan, USA
Yashi Ballal, Central Michigan University, College of Medicine, Mount Pleasant, Michigan, USAFollow
Elie Mrad, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon
Natasa Petreska, Central Michigan University, Internal Medicine, Saginaw, Michigan, USA
Sachin Singh, Central Michigan University, Internal Medicine, Saginaw, Michigan, USA
Paritharsh Ghantasala, Central Michigan University, Internal Medicine, Saginaw, Michigan, USA

Abstract

Bi-atrial thrombi with bilateral pulmonary embolism (PE) through a patent foramen ovale (PFO) is rare and life-threatening, requiring urgent management due to embolization risk. We present a 53-year-old female with left lower extremity extensive deep vein thrombosis (DVT), bilateral PE, and bi-atrial thrombi straddling a PFO. She underwent thrombectomy, PFO closure, and pulmonary embolectomy but later experienced recurrent DVT and PE. Anticoagulation was limited due to bleeding risk given a recent neurosurgery. Literature lacks clear guidelines for managing such cases necessitating individualized treatment. This case highlights the complexity of bi-atrial thrombi with PFO and the need for further research to optimize management strategies.

Recommended Citation

Mourad, Denise; Mohamed, Fahd Eissa; Ballal, Yashi; Mrad, Elie; Petreska, Natasa; Singh, Sachin; and Ghantasala, Paritharsh (2025) "Bilateral Pulmonary Embolism with Bi-Atrial Cardiac Thrombi Entrapped in a Patent Foramen Ovale," Journal of Community Hospital Internal Medicine Perspectives: Vol. 15: Iss. 5, Article 15.
DOI: 10.55729/2000-9666.1529
Available at: https://scholarlycommons.gbmc.org/jchimp/vol15/iss5/15

DOI

10.55729/2000-9666.1529