Treatment of Mobile Right Heart Thrombi
KeywordsMobile right heart thrombi, pulmonary embolism, half-dose alteplase
Right heart thrombi are detected in approximately 4% of patients with pulmonary embolism. The associated mortality is high, but the optimal strategy remains controversial. We report a case of a large mobile right heart thrombus, complicated by embolism of the right pulmonary artery, which was successfully treated with half-dose alteplase. We briefly review the literature and discuss the therapeutic options, focusing on the advantages of thrombolysis.
Issue: Vol 7 No 12 (view)