Thrombus entrapped by patent foramen ovale in a patient with pulmonary embolism -a case report-

Thrombus-in-transit appears to increase the risk of mortality compared to pulmonary embolism alone and can requirealteration in therapeutic plan. We present the case of a biatrial thromboembolus caught in transit across a patent foramenovale diagnosed by intraoperative transesophageal echocardiogram in a 69-year-old female with acute pulmonaryembolism and subsequent acute cerebral infarction. We suggest that echocardiography should be performed in a patientwith suspected pulmonary thromboembolism to evaluate right heart function and diagnose emboli in transit.