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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Large right ventricular thrombus.

Carla Sousa1, Pedro Almeida1, Alexandra Gonçalves1

  • 1Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

Acta Medica Portuguesa
|July 15, 2014
PubMed
Summary
This summary is machine-generated.

Right ventricular thrombus is a rare but serious condition. Echocardiography diagnosed a large thrombus in a patient with alcoholic cardiomyopathy, despite refusal of anticoagulation.

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Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Right ventricular thrombosis is a rare, potentially fatal condition.
  • Associated with hypercoagulability, autoimmune diseases, and dilated cardiomyopathy.
  • Echocardiography is the primary diagnostic tool.

Observation:

  • A patient with alcoholic dilated cardiomyopathy presented with congestive heart failure and respiratory infection.
  • Routine echocardiography revealed a large mural right ventricular thrombus.
  • Severe biventricular dysfunction was also noted.

Findings:

  • The echocardiogram confirmed a significant right ventricular thrombus in a patient with severe biventricular dysfunction.
  • This case underscores the utility of echocardiography in diagnosing complex cardiac conditions.
  • The patient declined an anticoagulation treatment strategy.

Implications:

  • Early diagnosis of right ventricular thrombosis is crucial for patient management.
  • Echocardiography plays a vital role in differentiating thrombus types and guiding treatment.
  • Understanding the association between alcoholic cardiomyopathy and thrombosis may inform preventative strategies.