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Echocardiogram revealed thrombus-in-transit. She underwent surgical embolectomy only for thrombus-in-transit and closure of the patent foramen ovale. However, pulmonary hypertension worsened, haemodynamical instability prolonged and hepatic congestion progressed. After veno-arterial extracorporeal membrane oxygenation insertion, we performed thrombectomy by catheter and anticoagulation therapy. One month later, the patient was transferred to another hospital for rehabilitation.<\/jats:p>","DOI":"10.1093\/icvts\/ivac183","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T12:35:51Z","timestamp":1656333351000},"source":"Crossref","is-referenced-by-count":3,"title":["Treatment strategies for thromboembolism-in-transit with pulmonary embolism"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2979-935X","authenticated-orcid":false,"given":"Hiroki","family":"Sakai","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Iizuka Hospital , Yoshiomachi, Iizuka, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Iizuka Hospital , Yoshiomachi, Iizuka, Fukuoka, 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