| "Thrombus in transit"--the role of echocardiography in the diagnosis of massive pulmonary embolism and a review of the literature. | |
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MedLine Citation:
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PMID: 12222699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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James Oliver O'Neill; Rashid Iqbal; Kathleen McGarry |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Acta cardiologica Volume: 57 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-09-11 Completed Date: 2003-01-30 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
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Languages: eng Pagination: 291-4 Citation Subset: IM |
Affiliation:
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Department of Medicine, Our Lady's Hospital, Navan, Ireland. jimon@gofree.indigo.ie |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Echocardiography* Fibrinolytic Agents / therapeutic use Heparin / therapeutic use Humans Male Middle Aged Pulmonary Embolism / drug therapy, ultrasonography* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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