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    
Abstract/OtherAbstract:
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.
Authors:
Azman Ates; Serdar Sevimli; Bilgehan Erkut
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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    
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey. azmanates@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Anticoagulants / therapeutic use*
Female
Heart Diseases / drug therapy*,  ultrasonography
Heparin / therapeutic use*
Humans
Thrombosis / drug therapy*,  ultrasonography
Warfarin / therapeutic use*
Chemical
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


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