Thrombus in transit in a patient with ischaemic stroke
Nazar LUQMAN 1, Ghazala KAFEEL 2, Terence CHIN 3
1 Division of Cardiology, Department of Medicine RIPAS Hospital, 2 Department of Pathology RIPAS Hospital, 3 Gleneagles Jerudong Park Medical Centre, Brunei Darussalam
ABSTRACT
Stroke or cerebrovascular accident is common and is most commonly embolic or haemorrhagic. A common source of embolism is the heart and as such echocardiogram is an essential investigation. However, clinicians need to be aware of rare sources of embolism. We report a rare and interesting case of a 61-year-old Caucasian man who presented with stroke and on evaluation was found to have a large thrombus coiled striding over a patent foreman ovale into the right and left atrium consistent with a ‘thrombus in transit’. The origin of the thrombus was later confirmed to be from the left saphenous vein. This case highlights an interesting case of ‘thrombus in transit’.
Keywords: Cerebrovascular accident, myxoma, patent foreman ovale, paradoxical embolism
Correspondence author: Nazar LUQMAN, Division of Cardiology, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.
Tel: +673 8816326
E mail: nazarluqman@gmail.com
Brunei Int Med J. 2012;8(2):102-106