Bilateral Pulmonary Embolism with Bi-Atrial Cardiac Thrombi Entrapped in a Patent Foramen Ovale
Journal: Journal of Community Hospital Internal Medicine Perspectives
Year: 2025

Bi-atrial thrombi with bilateral pulmonary embolism (PE) through a patent foramen ovale (PFO) is rare and life-threatening, requiring urgent management due to embolization risk. We present a 53-year-old female with left lower extremity extensive deep vein thrombosis (DVT), bilateral PE, and bi-atrial thrombi straddling a PFO. She underwent thrombectomy, PFO closure, and pulmonary embolectomy but later experienced recurrent DVT and PE. Anticoagulation was limited due to bleeding risk given a rece