Treatment of Mobile Right Heart Thrombi

Xenofon M Sakellariou; Andreas  Efstathopoulos; Konstantinos V Stamatis; Dimitrios N Nikas; Theofilos M Kolettis

doi:10.12890/2020_001918

European Journal of Case Reports in Internal Medicine (Sep 2020)

Treatment of Mobile Right Heart Thrombi

Xenofon M Sakellariou,
Andreas Efstathopoulos,
Konstantinos V Stamatis,
Dimitrios N Nikas,
Theofilos M Kolettis

Affiliations

Xenofon M Sakellariou: 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
Andreas Efstathopoulos: 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
Konstantinos V Stamatis: 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
Dimitrios N Nikas: 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
Theofilos M Kolettis: 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece

DOI: https://doi.org/10.12890/2020_001918

Abstract

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Right heart thrombi are detected in approximately 4% of patients with pulmonary embolism. The associated mortality is high, but the optimal strategy remains controversial. We report a case of a large mobile right heart thrombus, complicated by embolism of the right pulmonary artery, which was successfully treated with half-dose alteplase. We briefly review the literature and discuss the therapeutic options, focusing on the advantages of thrombolysis.

Published in European Journal of Case Reports in Internal Medicine

ISSN: 2284-2594 (Online)
Publisher: SMC MEDIA SRL
Country of publisher: Italy
LCC subjects: Medicine
Website: http://www.ejcrim.com

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Abstract

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