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Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome.

ABSTRACT: Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and should be a routine component of the assessment of acutely decompensating patients.

SUBMITTER: Gorgone M

PROVIDER: S-EPMC9396226 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome.

Gorgone Matthew M Novelli Enrico M EM Patel Simmi S Lamberty Phillip E PE De Castro Laura M LM Gladwin Mark T MT Maximous Stephanie I SI

Respiratory medicine case reports 20220808

Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and s ...[more]

PMID: 36017251

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