| Review of echocardiographically diagnosed right heart entrapment of pulmonary emboli-in-transit with emphasis on management. | |
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MedLine Citation:
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PMID: 3541555 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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2DE permits detection of thromboemboli transiently entrapped in the right heart chambers while en route to the pulmonary arteries. Review of the 49 cases recorded to date reveals that the supple elongated clot produces a 2DE picture--a mass of changing configuration and striking mobility--that is highly characteristic. Since emboli that become entrapped are large, when managed by medical measures alone they have an attendant mortality rate of 50%, usually soon after 2DE diagnosis, upon completion of pulmonary embolization. Death occurred in 8 of 16 patients treated with anticoagulants, thrombolytic agents, or antiaggregants and in 6 of 13 who received supportive measures only. Of 20 patients referred for surgery (cardiotomy and, in 17, pulmonary embolectomy), only three died, two of them failures of preceding anticoagulant treatment. These data indicate that thromboemboli entrapped in the right heart chambers are best handled as a surgical emergency. |
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Authors:
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Z Farfel; M Shechter; Z Vered; S Rath; D Goor; J Gafni |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American heart journal Volume: 113 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1987 Jan |
Date Detail:
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Created Date: 1987-02-13 Completed Date: 1987-02-13 Revised Date: 2006-02-27 |
Medline Journal Info:
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Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 171-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Echocardiography* Female Humans Male Pulmonary Embolism / diagnosis*, mortality, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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