loading page

A large right atrial thrombus penetrating through a patent foramen ovale in a patient with Prothrombin G2120 Mutation
  • +1
  • Ricardo Patricio Pérez Anderson,
  • Johannes Boehm,
  • Ruediger Lange,
  • Ralf Guenzinger
Ricardo Patricio Pérez Anderson
German Heart Centre Munich
Author Profile
Johannes Boehm
German Heart Center Munich
Author Profile
Ruediger Lange
German Heart Center Munich
Author Profile
Ralf Guenzinger
German Heart Center Munich
Author Profile

Abstract

Abstract: The Prothrombin mutation G2021 alone is considered a minor risk factor for thromboembolism, but thromboembolic events are more likely in the presence of additional risk factors. We report on a 44-year-old female with an atrial thrombus causing pulmonary embolism and transiting through a patent foramen ovale. The thrombus was extracted by open heart operation. The patient had a family history for thromboembolic events. Further diagnostic after surgery found the patient positive for the Prothrombin mutation G2021, but not for the Factor V Leiden mutation. After surgery, a permanent oral anticoagulation has been started.