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Published on: June 11, 2019
Right Ventricular Thrombus-in-Transit in Submassive Pulmonary Embolism
Jeffrey Wilson1, Smitha Narayana Gowda2, Aditya Singh1
1Sanford Cardiovascular Institute, Sioux Falls, South Dakota.
Abstract:
Right heart thrombus (RHT) occurs secondary to deep venous thrombus in transit to pulmonary veins, intra cardiac devices and prosthetic valves. When RHT is present in a patient with pulmonary embolism (PE) it is generally shown to be associated with worse outcomes. Even though multiple trials have studied treatment of PE, the optimal treatment of PE associated with RHT is still largely based on clinical judgment. We present a 73-year- old female patient with submassive PE and right ventricular thrombus in transit, who was successfully treated with ultrasound guided catheter based thrombolysis.
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