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Silent Pulmonary Embolism of a Large Right Atrial Thrombus
Author(s) -
TSOUKAS ATHANASIOS,
ATHANASOPOULOS GEORGE,
KOLIANDRIS IOANNIS,
KOUTELOU MARIA,
RITSOU MARINA,
CHRISTAKOS STAMATIOS,
COKKINOS DENNIS V.
Publication year - 1998
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1998.tb00639.x
Subject(s) - medicine , thrombus , asymptomatic , pulmonary embolism , cardiology , radiology , pulmonary artery , embolism
We report the case of a patient who was admitted to the hospital with acute pulmonary embolism 2 weeks after a complicated pelvis fracture. Echocardiography revealed a large, long, and mobile thrombus in the right atrium. The patient was scheduled to undergo urgent surgical thrombectomy. Preoperative echocardiography did not detect any thrombi in the right heart and pulmonary artery. The obvious embolism of this large thrombus in the pulmonary circulation was silent as the patient remained asymptomatic and hemodynamically stable. We discuss the contribution of echocardiography to the appropriate therapeutic management of right atrial thrombi and particularly to the cancellation of urgent operative thrombectomy.