Document Detail

Successful treatment of right ventricular thrombus with heparin and sodium warfarin therapy: a case report.
MedLine Citation:
PMID:  17162399     Owner:  NLM     Status:  MEDLINE    
A 75-year-old woman came to our emergency clinic complaining of abdominal pain. Acute cholecystitis was diagnosed, and parenteral antibiotic therapy was initiated. Because of palpitation, she had a consultation with the cardiology clinic. Echocardiography showed a 2.7 x 2.2 cm mobile thrombus attached to the apex of the right ventricle. Since no thromboembolic complications were present, we decided to begin administering heparin and oral anticoagulant. After the administration of unfractionated heparin for 48 hours, the patient was shifted to low-molecular weight heparin because it is easier to use and requires no follow-up. The patient received low-molecular weight heparin in addition to sodium warfarin for 5 days. Administration of heparin was then stopped and treatment was continued with sodium warfarin. In the series of weekly echocardiography evaluations, a gradual reduction was noted in the apical mass, which was initially considered to be a thrombus, and 3 weeks later evaluation revealed that the thrombus in the right ventricle had disappeared completely. No thromboembolic complications were observed during the follow-up period.
Azman Ates; Serdar Sevimli; Bilgehan Erkut
Related Documents :
8212439 - Thromboembolic complications following radical retropubic prostatectomy. influence of e...
12551829 - Low-molecular-weight heparin (nadroparin) and very low doses of warfarin in the prevent...
11771209 - Incidence of deep venous thrombosis after thoracotomy.
9042559 - Thromboprophylaxis with low molecular weight heparin after major orthopaedic surgery is...
9243149 - Streptokinase vs alteplase in massive pulmonary embolism. a randomized trial assessing ...
12073179 - Treatment of symptomatic venous thromboembolism: improving outcomes.
2680609 - Vascular graft infection: the role of indium scanning.
18402739 - Seroma and recurrence in laparoscopic ventral hernioplasty.
16455559 - Spontaneous subarachnoid haemorrhage in the era of transition from surgery to embolizat...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  10     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2007  
Date Detail:
Created Date:  2006-12-12     Completed Date:  2006-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E33-5     Citation Subset:  IM    
Department of Cardiovascular Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anticoagulants / therapeutic use*
Heart Diseases / drug therapy*,  ultrasonography
Heparin / therapeutic use*
Thrombosis / drug therapy*,  ultrasonography
Warfarin / therapeutic use*
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Intrathoracic xanthoma mimicking lung cancer in a patient with familial hypercholesterolemia type II...
Next Document:  The effects of isoflurane, sevoflurane, and desflurane anesthesia on neurocognitive outcome after ca...