Abstract
48-year-old female presented with dyspnea and fatigue in June 2020. CT
imaging found pulmonary embolus and a heparin drip was initiated. She
later developed chest pain which led to an echocardiogram. This imaging
noted biatrial thrombus extending through mitral and tricuspid valve, as
well as through a patent foramen ovale (PFO) (Fig. 1, 2). She underwent
emergent sternotomy, left and right atrial embolectomy, left and right
pulmonary embolectomy, and atrial septal defect closure (Fig. 3). She
progressed well post op and was discharged on postoperative day 7 on
therapeutic anticoagulation. Remains in good condition on follow up on
long term follow up.