Thrombus in transit in a patient with ischaemic stroke
- VernacularTitle:Thrombus in transit in a patient with ischaemic stroke
- Author:
Nazar LUQMAN
;
Ghazala KAFEEL
;
Terence CHIN
- Publication Type:Case Reports
- Keywords:
Cerebrovascular Accident;
Myxoma;
Patent Foramen Ovale;
Paradoxical Embolism
- MeSH:
Stroke;
Myxoma;
Foramen Ovale, Patent;
Embolism, Paradoxical
- From:Brunei International Medical Journal
2012;8(2):102-106
- CountryBrunei Darussalam
- Language:English
-
Abstract:
Stroke or cerebrovascular accident is common and is most commonly embolic or haemorrhagic. A common source of embolism is the heart and as such echocardiogram is an essential investigation. However, clinicians need to be aware of rare sources of embolism. We report a rare and interesting case of a 61-year-old Caucasian man who presented with stroke and on evaluation was found to have a large thrombus coiled striding over a patent foreman ovale into the right and left atrium consistent with a 'thrombus in transit'. The origin of the thrombus was later confirmed to be from the left saphenous vein. This case highlights an interesting case of 'thrombus in transit'.