Open AccessTreatment of Mobile Right Heart Thrombi
Author(s) -
Xenofon M. Sakellariou,
Andreas P Efstathopoulos,
Konstantinos Stamatis,
Dimitrios Nikas,
Theofilos M. Kolettis
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001918
Subject(s) - medicine , thrombolysis , right heart , pulmonary embolism , thrombus , cardiology , therapeutic approach , embolism , myocardial infarction , disease
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.