Ashok PAUDEL, Anıl ŞAHİN, Halil ATAŞ, Alper KEPEZ, MURAT SÜNBÜL

A Rare cause of acute massive pulmonary embolism: Thrombi-in-transit

ISSN: 2147-0634
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 2012
Yayıncı: Effect Publishing Agency ( EPA )

Although the existing guidelines do not offer a clear statement for the management of thrombus in the right heart, it is associated with worse outcomes in patients with acute massive pulmonary embolism (PE). Thrombolytic therapy has not been convincingly shown to improve mortality or reduce the frequency of recurrent thromboembolism. Therefore, thrombolysis should be considered on a case-by-case basis when the benefits are assessed by the clinician to outweigh the risk of hemorrhage. While thrombiin-transit in the right heart increases the rate of morbidity and mortality in patients with acute massive PE, thrombolytic therapy may lead to completely recovery of thrombus in these patients. We present here a rare case of 71 years-old woman presented with acute massive PE due to thrombi-in-transit in the right heart.

PDF

___

Puls M, Hünlich M, Schillinger W. [Free-floating right heart thrombi in pulmonary embolism: therapeutic options and differential diagnosis]. 2014;139:887-91.

Shankarappa RK, Math RS, Papaiah S, et al. Free floating right atrial thrombus with massive pulmonary embolism: near catastrophic course following thrombolytic therapy. Indian Heart J. 2013;65:460-3.

Satiroğlu O, Durakoğlugil ME, Uğurlu Y, et al. Successful thrombolysis using recombinant tissue plasminogen activator in cases of severe pulmonary embolism with mobile thrombi in the right atrium. Interv Med Appl Sci. 2014;6:89-92.

Karabay CY, Kocabay G, Kalayci A, et al. Snake-like thrombus in the right atrium causing pulmonary embolism. Cardiovasc J Afr. 2011;22:206-7

Momose T, Morita T, Misawa T. Percutaneous treatment of a free-floating thrombus in the right atrium of a patient with pulmonary embolism and acute myocarditis. Cardiovasc Interv Ther. 2013;28:188-92..