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Successful thrombolysis of right atrial and ventricular thrombi in a patient with massive pulmonary embolism.
MedLine Citation:
PMID:  19918309     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Right sided heart thrombi may develop within the right heart chambers or they may be peripheral venous clots that on their way to the lungs, accidentally lodge in a patent foramen ovale, tricuspid chordae or Chiaris network. Type A thrombi have a worm-like shape and are extremely mobile. These pleomorphic thrombi are mainly localized in the right atrium, frequently move back and forth through the tricuspid orifice and may cause cardiovascular collapse when entrapment occurs. Type B thrombi attach to the atrial or ventricular wall indicating that they are probably of local origin. We describe the case of a middle age man (48 years old) with no cardiovascular history and a massive pulmonary embolism where transthoracic echocardiography revealed many type A thrombi in both right atrium and ventricle. He presented with acute dyspnea, diaphoresis and hemodynamical instability. He was treated with thrombolysis and after three hours was greatly improved and the thrombi were disappeared. After ten days of hospitalization he was discharged. Thrombi were originated in the popliteal region of the inferior vena cava of both legs and were totally treated.
Authors:
I Vogiatzis; I Dapcevic; V Sachpekidis; P Stafylas; A Sidiropoulos; S Pittas; V Tsangaris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hippokratia     Volume:  13     ISSN:  1790-8019     ISO Abbreviation:  Hippokratia     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-11-17     Completed Date:  2010-06-17     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  101296613     Medline TA:  Hippokratia     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  178-80     Citation Subset:  -    
Affiliation:
Department of Cardiology, General Hospital of Veroia, Veroia, Greece. ivogia@otenet.gr
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