Monaldi Archives for Chest Disease (Jan 2020)

A rare case of deep vein and right atrial thrombosis in a patient with chronic heart failure and pulmonary embolism

  • Akhmetzhan Sugraliyev,
  • Shynar Aktayeva,
  • Gulnur Tanbayeva,
  • Almat Kodasbayev,
  • Plinio Cirillo,
  • Klara Iskakova

DOI
https://doi.org/10.4081/monaldi.2020.1142
Journal volume & issue
Vol. 90, no. 1

Abstract

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Deep vein thrombosis (DVT) is frequently observed in patients with chronic heart failure (CHF), increasing the risk of pulmonary embolism (PE). Clinical evaluation of CHF patients with suspected acute PE is challenging since these diseases share several symptoms and signs such as dyspnea. Thus, it is intuitive that correct and fast diagnosis of PE in these patients might be able to significantly change their clinical outcome. In the present report, we describe a rare case of a patient with CHF and PE due to a huge thrombosis of deep veins and of right atrium in whom echo evaluation permitted the correct diagnosis and therapy.

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