Document Detail

A positive outcome in patient with massive acute pulmonary embolism and right atrial mobile thrombus fragmented during thrombolysis: a serial echocardiographic examination.
MedLine Citation:
PMID:  16115303     Owner:  NLM     Status:  MEDLINE    
The case report presents a patient with acute, massive pulmonary embolism diagnosed by transthoracic echocardiography, with the mobile thrombus visualized in the right atrium. During the thrombolytic therapy the thrombus was fragmented and migrated to the pulmonary artery, with a rapid transient worsening of the clinical status of the patient. The continuation of thrombolysis led to the gradual improvement of the patient condition. In this case report the importance of serial echocardiographic examinations in revealing right heart masses, the right ventricle overloading and the effectiveness of treatment is shown.
B Lichodziejewska; K Jankowski; K Kurnicka; M Ciurzynski; D Liszewska-Pfejfer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of internal medicine     Volume:  258     ISSN:  0954-6820     ISO Abbreviation:  J. Intern. Med.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-23     Completed Date:  2005-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904841     Medline TA:  J Intern Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  281-4     Citation Subset:  IM    
Department of Internal Medicine and Cardiology, Institute of Dentistry, Medical University, Warsaw, Poland.
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MeSH Terms
Heart Atria
Heart Diseases / etiology*,  ultrasonography
Pulmonary Embolism / etiology*,  ultrasonography
Thrombolytic Therapy / adverse effects*
Thrombosis / etiology,  ultrasonography
Treatment Outcome

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