Document Detail

Floating right heart thrombi and pulmonary embolism: diagnosis, outcome and therapeutic management.
MedLine Citation:
PMID:  8653735     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to analyze clinical and echographic findings and to assess therapeutic management in 14 floating right atrial thrombi diagnosed with systematic echocardiography in 200 consecutive patients with proven pulmonary embolism. Auscultatory findings were abnormal in 7 cases, 4 of them showing signs of tricuspid obstruction. Echocardiography displayed a mobile ovoid, polycyclic or worm-like right atrial mass, always associated with signs of cor pulmonale. Four patients (29%) died, 2 of them before any treatment could be started. Regarding the remaining 10 patients with favorable outcome, surgical embolectomy was carried out in 7. Our data suggest that echocardiographic examination is necessary in all suspected pulmonary embolisms and has to be done quickly for emergency treatment in patients with floating right atrial thrombus.
L Chapoutot; P Nazeyrollas; D Metz; D Maes; B Maillier; C Jennesseaux; J Elaerts
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  87     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-07-30     Completed Date:  1996-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  169-74     Citation Subset:  IM    
Department of Cardiology, University Hospital, Reims, France.
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MeSH Terms
Aged, 80 and over
Heart Atria / surgery,  ultrasonography*
Middle Aged
Pulmonary Embolism / mortality,  surgery,  ultrasonography*
Survival Rate
Thrombosis / mortality,  surgery,  ultrasonography*
Treatment Outcome

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