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Laboratory studies were significant for elevated D-dimer and mildly increased troponin. On further investigation he was found to have a saddle pulmonary embolism with massive clot burden. Echocardiogram revealed thrombus in transit and McConnell\u2019s sign. He underwent surgical embolectomy and closure of a patent foramen ovale. This is a particularly rare case, especially in such a young patient. Because this is a rare diagnosis, with insufficient data, there is no formally established treatment guideline. However, in patients who are good surgical candidates, studies have shown better outcome with surgical embolectomy as compared to anticoagulation alone or thrombolysis.<\/jats:p>","DOI":"10.1155\/2017\/6752709","type":"journal-article","created":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T16:05:06Z","timestamp":1485446706000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Saddle Pulmonary Embolism with Thrombus in Transit across a Patent Foramen Ovale"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1836-414X","authenticated-orcid":true,"given":"Fitzgerald","family":"Shepherd","sequence":"first","affiliation":[{"name":"Harlem Hospital Center, New York City, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"White-Stern","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oloruntobi","family":"Rahaman","sequence":"additional","affiliation":[{"name":"Harlem Hospital Center, New York City, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"Kurian","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Harlem Hospital Center, New York City, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Simon","sequence":"additional","affiliation":[{"name":"Harlem Hospital Center, New York City, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640014565050"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20100826-28"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(03)00479-0"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.3.806"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(85)80449-6"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(98)00251-6"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-0961"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2008.08.011"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/395879"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1368-5031.2004.0141.x"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2005.05.017"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2017\/6752709.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2017\/6752709.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2017\/6752709.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T16:05:06Z","timestamp":1485446706000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2017\/6752709\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":11,"alternative-id":["6752709","6752709"],"URL":"https:\/\/doi.org\/10.1155\/2017\/6752709","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017]]}}}