Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2024; 12(4): 842-846
Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.842
Multiple paradoxical embolisms caused by central venous catheter thrombus passing through a patent foramen ovale: A case report
Jian-Duan Li, Nian Xu, Qiang Zhao, Biao Li, Li Li
Jian-Duan Li, Nian Xu, Qiang Zhao, Biao Li, Li Li, Department of Cardiology, Guangzhou Red Cross Hospital of Jinan University, Guangzhou 510235, Guangdong Province, China
Co-first authors: Jian-Duan Li and Nian Xu.
Author contributions: Li JD contributed to conceptualization and investigation, and manuscript writing; Xu N contributed to Investigation and editing; Li JD and Xu N contribute equally to this study, they share co-first author; Zhao Q contributed to investigation and resources; Li B contributed to resources and editing; Li L contributed to conceptualization and editing; all authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Guangdong Province, No. 2021A1515011267; and Guangzhou Municipal Science and Technology Bureau, No. 2023A03J0984.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Li, MD, Chief Doctor, Department of Cardiology, Guangzhou Red Cross Hospital of Jinan University, No. 396 Tongfu Middle Road, Haizhu District, Guangzhou 510235, Guangdong Province, China. lilygs@ext.jnu.edu.cn
Received: October 25, 2023
Peer-review started: October 25, 2023
First decision: December 15, 2023
Revised: December 27, 2023
Accepted: January 15, 2024
Article in press: January 15, 2024
Published online: February 6, 2024
Processing time: 91 Days and 20 Hours
Core Tip

Core Tip: Paradoxical coronary embolism is a rare cause of acute myocardial infarction. Here, we report a case of simultaneous coronary and lower limb artery embolism in a patent foramen ovale (PFO) patient carrier of a central venous catheter (CVC). CVC-associated thrombosis is a potential source for paradoxical embolisms in PFO patients. Meanwhile, transesophageal echocardiography can help us detect PFOs more accurately.