Removal of patent foramen ovale occluder with adherent left atrial thrombus

A 52-year-old male presented with cardiac tamponade and left atrial thrombus (Fig. 1B and C ) adherent to occluder several months after interventional patent foramen ovale closure due to stroke. Most probable site of perforation was at the dome of the left atrium (Fig. 1A). Device and thrombus were removed and surgical correction was performed successfully.

Fig. 1

(A) Residual shunt on the spot of perforation. (B) Thrombus on the left atrial surface of the occluder. (C) Left atrial side of the occluder (arrows indicates the thrombus).

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