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Journal of Thrombosis and Thrombolysis

, Volume 33, Issue 3, pp 296–298 | Cite as

Frequent long-distance flyer’s undesirable mileage: an organized giant thrombus stuck in PFO

  • Yoshinori Katsumata
  • Kensuke KimuraEmail author
  • Motoaki Sano
  • Mikihiko Kudo
  • Takahide Arai
  • Yohei Ohno
  • Yuichi Tamura
  • Hikaru Tsuruta
  • Mitsushige Murata
  • Ryohei Yozu
  • Keiichi Fukuda
Article
A 55-year-old male diplomat had been making frequent long-distance flights from Narita (Japan) to the Middle East or the African Continent over a period of 2 years. Each one-way trip took at least 24 h. After one trip (April 2010), the patient noticed that he had developed a dry cough. At the beginning of July 2010, he flew to Kuwait via Paris and Amsterdam, a journey of 34 h. During the patient’s 3-night stay in Kuwait, his cough was exacerbated. He subsequently flew to Algeria via Lebanon and Paris overnight. At the time, Algeria was experiencing a heat wave and the patient developed dyspnea on exertion. By the time the patient was on his way home, 9 days after his initial departure, he could not walk without resting frequently. After returning to Japan, he experienced coughing fits every 15 min. He was admitted to hospital 3 days after his return. The patient was a non-smoker, but his body mass index was 31.8 kg/m 2. The patient’s blood pressure upon arrival in the Emergency Room...

Keywords

Pulmonary Hypertension Deep Vein Thrombosis Hyper Homocysteinemia Moist Rale Residual Pulmonary Hypertension 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

Supplementary material

Movie 1, Transesophageal echocardiogram showing the embolus stuck in the patent foramen ovale (PFO). (MPG 340 kb)

Movie 2, Transesophageal echocardiogram showing the thrombus intruding up into the left ventricle through the mitral valve. Note the thrombus stuck in the patent foramen ovale (PFO). (MPG 832 kb)

References

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    Gallus AS (2005) Travel, venous thromboembolism, and thrombophilia. Semin Thromb Hemost 31:90–96PubMedCrossRefGoogle Scholar
  2. 2.
    Perez-Rodriguez E, Jimenez D, Diaz G et al (2003) Incidence of air travel-related pulmonary embolism at the Madrid-Barajas airport. Arch Intern Med 163:2766–2770PubMedCrossRefGoogle Scholar
  3. 3.
    Nellessen U, Daniel WG, Matheis G et al (1985) Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery. J Am Coll Cardiol 5:1002–1004PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Yoshinori Katsumata
    • 1
  • Kensuke Kimura
    • 1
    Email author
  • Motoaki Sano
    • 1
  • Mikihiko Kudo
    • 2
  • Takahide Arai
    • 1
  • Yohei Ohno
    • 1
  • Yuichi Tamura
    • 1
  • Hikaru Tsuruta
    • 1
  • Mitsushige Murata
    • 1
  • Ryohei Yozu
    • 2
  • Keiichi Fukuda
    • 1
  1. 1.Department of CardiologyKeio University School of MedicineTokyoJapan
  2. 2.Department of Cardiovascular SurgeryKeio University School of MedicineTokyoJapan

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