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Interactive Cardiovascular and Thoracic Surgery 2:125-127(2003)
© 2003 European Association of Cardio-Thoracic Surgery

Case report - Congenital

Recurrent thromboembolic events after percutaneous device closure of patent foramen ovale

Jochen Börgermanna,*, Kavous Hakimb, Ivar Friedricha and Claudius Dieza

a Department of Cardiothoracic Surgery, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Strasse 40, 06097 Halle/Saale, Germany
b Department of Thoracic- and Cardiovascular Surgery, Coswig Heartcenter, Mediclin AG, Lerchenfeld 1, 06869 Coswig/Anhalt, Germany

* Corresponding author. Tel.: +49-345-557-2079; fax: +49-345-557-2711
jochen.boergermann{at}t-online.de

We report on a 34-year-old male with recurrent transient ischemic attacks 1 year after transcatheter closure of a patent foramen ovale. Echocardiography demonstrated thrombus attached to the device, although the patient had been anticoagulated with phenprocoumon. There was no residual shunt. Computed tomography and transcranial Doppler ultrasonography showed no evidence of a new stroke. The thrombosed device was removed under cardiopulmonary bypass and the defect was closed with a pericardial patch. The patient was discharged home and has been well for almost 2 years. At this time, there is no evidence for any new neurological events.

Key Words: Paradoxical embolism; Patent foramen ovale; Transcatheter closure; Device thrombus; Embolization; Surgery




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