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Ultimately, the decision was made to continue anticoagulation with unfractionated heparin followed by oral Coumadin. The patient responded well to therapy and at 1-month follow-up, a complete resolution of the thrombus was documented on transoesophageal echocardiogram with full clinical recovery of the patient.<\/jats:p>","DOI":"10.1136\/bcr-2016-216761","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T07:00:20Z","timestamp":1479798020000},"page":"bcr2016216761","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Extensive biatrial thrombus straddling the patent foramen ovale and traversing into the left and right ventricle"],"prefix":"10.1136","volume":"2016","author":[{"given":"Adil","family":"Sattar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theingi Tiffany","family":"Win","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Schevchuck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abinash","family":"Achrekar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,11,21]]},"reference":[{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.1","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1046\/j.1445-5994.2003.00414.x","article-title":"Communicating massive biatrial thrombus","volume":"33","author":"Kathir","year":"2003","journal-title":"Intern Med J"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.2","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/01.JAA.0000446233.16049.01","article-title":"A thrombus in transit through a patent foramen ovale","volume":"27","author":"Ibebuogu","year":"2014","journal-title":"JAAPA"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.3","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv045"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60336-X"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.008301"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.6","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s00134-014-3283-y","article-title":"Paradoxical massive pulmonary embolism with a straddling thrombus across a patent foramen ovale","volume":"40","author":"Mathew","year":"2014","journal-title":"Intensive Care Med"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.21.2779"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(97)00162-8"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.9","doi-asserted-by":"publisher","DOI":"10.1378\/chest.100.5.1210"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.10","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1540-8191.2010.01168.x","article-title":"Paradoxical embolus caught in transit through a patent foramen ovale","volume":"26","author":"Shah","year":"2011","journal-title":"J Card Surg"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.11","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.19.1946"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.12","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.3.806"},{"key":"2025042705485728000_2016.nov21_3.bcr2016216761.13","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(89)90274-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216761","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:49:10Z","timestamp":1745758150000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,21]]},"references-count":13,"alternative-id":["10.1136\/bcr-2016-216761"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216761","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,21]]}}}