Document Detail

"Thrombus in transit"--the role of echocardiography in the diagnosis of massive pulmonary embolism and a review of the literature.
MedLine Citation:
PMID:  12222699     Owner:  NLM     Status:  MEDLINE    
The diagnosis of acute pulmonary embolus is often difficult. We present a case history where bedside transthoracic echocardiography provided a rapid and convenient aid to diagnosis by demonstrating a venous "thrombosis in transit" as a spiral shaped mass in the right atrium prolapsing into the right ventricle. We also review the management and outcome in recent, similar cases. Overall mortality is 33% for pulmonary embolus and associated thrombus in transit. Transthoracic echocardiography may be a useful tool in the diagnosis of pulmonary embolus. The presence of thrombus in the right heart is a rare finding. The outcome in these patients is determined by the clinical presentation rather than by the identification of thrombus.
James Oliver O'Neill; Rashid Iqbal; Kathleen McGarry
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta cardiologica     Volume:  57     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-11     Completed Date:  2003-01-30     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  291-4     Citation Subset:  IM    
Department of Medicine, Our Lady's Hospital, Navan, Ireland.
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MeSH Terms
Fibrinolytic Agents / therapeutic use
Heparin / therapeutic use
Middle Aged
Pulmonary Embolism / drug therapy,  ultrasonography*
Treatment Outcome
Reg. No./Substance:
0/Fibrinolytic Agents; 9005-49-6/Heparin

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

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