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Percutaneous Embolectomy of Serpentine Thrombus from the Right Atrium in a 51-Year-Old Man
Author(s) -
Soumya Patnaik,
Harish Seetha Rammohan,
Mahek Shah,
Shivani Garg,
Vincent M. Figueredo,
Sean Janzer,
Salil G. Shah
Publication year - 2016
Publication title -
texas heart institute journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.373
H-Index - 53
eISSN - 1526-6702
pISSN - 0730-2347
DOI - 10.14503/thij-15-5502
Subject(s) - medicine , embolectomy , percutaneous , thrombus , inferior vena cava , ventricle , right atrium , radiology , surgery , cardiology , pulmonary embolism
Treatment of large, fresh thrombi in the vascular system can be challenging. AngioVac, a cardiopulmonary pump system, has been used to remove large thrombi and even some tumors by a percutaneous route. We report here a case of a 51-year-old man who presented with a large thrombus (7.5 × 1.5 cm) in his inferior vena cava, extending into his right atrium and right ventricle. Because the surgical risk was high, we attempted percutaneous embolectomy via the AngioVac aspiration system. We also review the literature concerning this emerging technique.

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