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Large paradoxical embolus through a patent foramen ovale following arteriovenous graft thrombectomy
  • Chadi Allam,
  • Zeina Kadri,
  • Rabih Azar
Chadi Allam
Hotel-Dieu De France

Corresponding Author:[email protected]

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Zeina Kadri
Hotel-Dieu De France
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Rabih Azar
Hotel-Dieu De France
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An 86-year-old man with end-stage renal disease on hemodialysis with an arteriovenous fistula in his left upper extremity presented to his hemodialysis session with thrombosis of his arteriovenous fistula. The patient underwent surgical thrombectomy. The patient later showed evidence of peripheral embolization and livedo reticularis. Transthoracic and transesophageal echocardiograms revealed a large thrombus (5x2 cm) in the left atrium prolapsing to the right atrium via a patent foramen ovale and another thrombus (white arrow) adherent to the apical wall of the right ventricle. The thrombus in the left atrium was intermittently crossing the mitral valve and entering the left ventricle.
16 Aug 2021Submitted to Echocardiography
17 Aug 2021Submission Checks Completed
17 Aug 2021Assigned to Editor
22 Aug 2021Reviewer(s) Assigned
30 Aug 2021Review(s) Completed, Editorial Evaluation Pending
13 Sep 2021Editorial Decision: Revise Major
16 Sep 20211st Revision Received
17 Sep 2021Submission Checks Completed
17 Sep 2021Assigned to Editor
17 Sep 2021Reviewer(s) Assigned
21 Sep 2021Review(s) Completed, Editorial Evaluation Pending
27 Sep 2021Editorial Decision: Accept
Oct 2021Published in Echocardiography volume 38 issue 10 on pages 1847-1850. 10.1111/echo.15219