Treatment of Mobile Right Heart Thrombi

  • Xenofon M Sakellariou 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
  • Andreas Efstathopoulos 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
  • Konstantinos V Stamatis 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
  • Dimitrios N Nikas 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece
  • Theofilos M Kolettis 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina, Greece

Keywords

Mobile right heart thrombi, pulmonary embolism, half-dose alteplase

Abstract

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.

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References

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  • Published: 2020-09-17

    Issue: Vol 7 No 12 (view)

    Section: Articles

    How to cite:
    1.
    Sakellariou XM, Efstathopoulos A, Stamatis KV, Nikas DN, Kolettis TM. Treatment of Mobile Right Heart Thrombi. EJCRIM 2020;7 doi:10.12890/2020_001918.