Successful Embolectomy of a Migrated Thrombolytic Free-Floating Massive Thrombus Resulting in a Pulmonary Thromboembolism|RISS 상세보기

다국어 초록 (Multilingual Abstract)

The optimal treatment for free-floating massive right heart thrombi remains uncertain. However, they appear to increase the risk of mortality compared to the existence of a solitary pulmonary thromboembolism. Thrombolytic therapy has been shown to be effective in most patients, resulting in complete resolution of the massive thrombus and clinical improvement. We report the echocardiographic disappearance of a free-floating right heart thrombus after thrombolysis, however, the thrombus migrated and resulted in pulmonary thromboembolism. It was successfully removed with surgery.

번역하기

참고문헌 (Reference)

1 Rose PS, "Treatment of right heart thromboemboli" 121 : 806-814, 2002

2 Casazza F, "Prevalence and prognostic significance of right-sided cardiac mobile thrombi in acute massive pulmonary embolism" 79 : 1433-1435, 1997

3 Goldhaber SZ, "Optimal strategy for diagnosis and treatment of pulmonary embolism due to right atrial thrombus" 63 : 1261-1264, 1988

4 Pierre-Justin G, "Management of mobile right heart thrombi: a prospective series" 99 : 381-388, 2005

5 Chartier L, "Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients" 99 : 2779-2783, 1999

6 Sokmen G, "Free floating right atrial thrombus leading to acute pulmonary embolism" 129 : e12-e14, 2008

7 Kadner A, "Excellent outcome after surgical treatment of massive pulmonary embolism in critically ill patients" 136 : 448-451, 2008

8 Cuccia C, "Effectiveness of intravenous rTPA in the treatment of massive pulmonary embolism and right heart thromboembolism" 126 : 468-472, 1993

9 Armstrong WF, "Echocardiographic detection of right atrial thromboembolism" 87 : 801-806, 1985

10 Goldhaber SZ, "Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER)" 353 : 1386-1389, 1999