{
  "abstract": "Background\n\nClot in transit (CIT) through a patent foramen ovale (PFO) with concomitant pulmonary embolism is a rare condition that carries high mortality and lacks established management guidelines.Case summary\n\nA 67-year-old woman presented with 5 days of exertional dyspnea. Echocardiography showed a mobile thrombus traversing the atrial septum through a PFO with right ventricular dysfunction. Computed tomography pulmonary angiography demonstrated a saddle embolus, and brain imaging revealed a clinically silent paradoxical infarct. Compression ultrasonography showed no deep vein thrombosis. During emergency embolectomy with PFO closure, an unsuspected inferior vena cava thrombus was retrieved.Discussion\n\nCIT requires direct assessment of the pulmonary, systemic arterial, and venous axes before reperfusion is selected; computed tomography pulmonary angiography does not reliably assess the inferior vena cava.Take-home message\n\nWhen CIT is identified, interrogate the caval axis directly rather than inferring it from a negative pulmonary angiogram.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Intensive Cardiovascular Care and Cardiovascular Imaging, Nhan dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.",
    "Department of Intensive Cardiovascular Care and Cardiovascular Imaging, Nhan dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam. Electronic address: minhnhat210189@gmail.com.",
    "Department of Cardiac Surgery, Nhan dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Truong Q Le"
    },
    {
      "affs": [
        1
      ],
      "name": "Nhat M Giang"
    },
    {
      "affs": [
        0
      ],
      "name": "Hai H Nguyen"
    },
    {
      "affs": [
        2
      ],
      "name": "Thanh M Bui"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/75mn5h7yrhv6a.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.110530",
  "fulltext_url": "https://europepmc.org/articles/PMC13669883",
  "id": "75mn5h7yrhv6a",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://europepmc.org/article/MED/42847573",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2724|Venous Thromboembolism Diagnosis and Management"
    ]
  ],
  "openalex": "W7220849820",
  "pdf_url": "https://europepmc.org/articles/PMC13669883?pdf=render",
  "pmcid": "PMC13669883",
  "pmid": "42847573",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/75mn5h7yrhv6a.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42847573",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42847573"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Pulmonary Embolism, Silent Stroke, and an Occult Caval Thrombus: 1 Clot, 3 Territories.",
  "title_text": "Pulmonary Embolism, Silent Stroke, and an Occult Caval Thrombus: 1 Clot, 3 Territories.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/75mn5h7yrhv6a",
  "venue": "JACC. Case reports",
  "versions": []
}