Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome. (2022)

• Record Type: Journal Article
• Authors: Gorgone, Matthew; Novelli, Enrico M.; Patel, Simmi; Lamberty, Phillip E.; De Castro, Laura M.; Gladwin, Mark T.; Maximous, Stephanie I.
• Is Part Of: Respiratory medicine case reports. Volume 39(2022)
• Publication Date: 2022
• Subjects: Sickle cell disease -- Paradoxical embolism -- Point of care ultrasound -- Critical care; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2022.101724
• Languages: English
• ISSNs: 2213-0071

Abstract

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.