Mehrpooya Maryam, Faramarzpour Maryam, Rahmanian Mehrzad, Fallahtafti Parisa, Eftekhari Mohammad Reza
Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Department of Cardiac Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
BMC Cardiovasc Disord. 2025 May 23;25(1):392. doi: 10.1186/s12872-025-04798-2.
Thrombus in transit (TIT), a rare and life-threatening condition, poses risks of pulmonary and paradoxical embolism which needs prompt diagnosis. Our case report highlights the significance of utilizing advanced imaging techniques for accurate and timely diagnosis of TIT and the potential life-saving role of surgical thrombectomy. This case report discusses a rare instance of biatrial thrombus associated with venous thromboembolism (VTE) and patent foramen ovale (PFO). A 66-year-old female with multiple comorbidities presented with dyspnea and fatigue. Imaging revealed large thrombi in both atria, extending via PFO. Concurrent acute deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE) were identified. Emergency cardiac surgery successfully removed the thrombi, emphasizing the diagnostic and management challenges associated with biatrial thrombus and PFO.
Point-of-care ultrasound (POCUS) plays a critical role in rapidly identifying TIT across a PFO. The time-sensitive and multidisciplinary medical management of TIT is crucial, requiring individualized strategies.
Not applicable.
POCUS can be very helpful in providing a more appropriate image and more accurate diagnosis in patients with pulmonary embolism related to thrombus in transit (TIT) which is one of the most life-threatening medical conditions.
移动性血栓（TIT）是一种罕见且危及生命的病症，存在肺栓塞和反常栓塞的风险，需要及时诊断。我们的病例报告强调了利用先进成像技术准确及时诊断TIT的重要性以及手术取栓术的潜在救命作用。本病例报告讨论了一例罕见的与静脉血栓栓塞（VTE）和卵圆孔未闭（PFO）相关的双房血栓病例。一名患有多种合并症的66岁女性出现呼吸困难和疲劳症状。影像学检查发现双房均有大血栓，经卵圆孔未闭延伸。同时还发现了急性下肢深静脉血栓形成（DVT）和肺血栓栓塞（PTE）。急诊心脏手术成功清除了血栓，凸显了与双房血栓和卵圆孔未闭相关的诊断和管理挑战。
床旁超声（POCUS）在快速识别经卵圆孔未闭的TIT方面起着关键作用。TIT的时间敏感型多学科医疗管理至关重要，需要个体化策略。
不适用。
对于与移动性血栓（TIT）相关的肺栓塞患者，床旁超声（POCUS）有助于提供更合适的图像和更准确的诊断，而TIT是最危及生命的病症之一。
