Treatment of Mobile Right Heart Thrombi

Treatment of Mobile Right Heart Thrombi

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 succes...

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Main Authors: Xenofon M Sakellariou, Andreas Efstathopoulos, Konstantinos V Stamatis, Dimitrios N Nikas, Theofilos M Kolettis
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-09-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
mobile right heart thrombi
pulmonary embolism
half-dose alteplase
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1918
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spelling doaj-dacb86c61784418f86ec057fa69fc5172020-11-25T03:55:02ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-09-0110.12890/2020_0019181534Treatment of Mobile Right Heart ThrombiXenofon M Sakellariou0Andreas Efstathopoulos1Konstantinos V Stamatis2Dimitrios N Nikas3Theofilos M Kolettis41st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, GreeceRight 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/1918mobile right heart thrombipulmonary embolismhalf-dose alteplase
collection DOAJ
language English
format Article
sources DOAJ
author Xenofon M Sakellariou
Andreas Efstathopoulos
Konstantinos V Stamatis
Dimitrios N Nikas
Theofilos M Kolettis
spellingShingle Xenofon M Sakellariou
Andreas Efstathopoulos
Konstantinos V Stamatis
Dimitrios N Nikas
Theofilos M Kolettis
Treatment of Mobile Right Heart Thrombi
European Journal of Case Reports in Internal Medicine
mobile right heart thrombi
pulmonary embolism
half-dose alteplase
author_facet Xenofon M Sakellariou
Andreas Efstathopoulos
Konstantinos V Stamatis
Dimitrios N Nikas
Theofilos M Kolettis
author_sort Xenofon M Sakellariou
title Treatment of Mobile Right Heart Thrombi
title_short Treatment of Mobile Right Heart Thrombi
title_full Treatment of Mobile Right Heart Thrombi
title_fullStr Treatment of Mobile Right Heart Thrombi
title_full_unstemmed Treatment of Mobile Right Heart Thrombi
title_sort treatment of mobile right heart thrombi
publisher SMC MEDIA SRL
series European Journal of Case Reports in Internal Medicine
issn 2284-2594
publishDate 2020-09-01
description 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.
topic mobile right heart thrombi
pulmonary embolism
half-dose alteplase
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1918
work_keys_str_mv AT xenofonmsakellariou treatmentofmobilerightheartthrombi
AT andreasefstathopoulos treatmentofmobilerightheartthrombi
AT konstantinosvstamatis treatmentofmobilerightheartthrombi
AT dimitriosnnikas treatmentofmobilerightheartthrombi
AT theofilosmkolettis treatmentofmobilerightheartthrombi
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