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Published on: April 1, 2015
Clot In Transit in a Patient with Protein S Deficiency
Simon Kashfi1, Mohamed Farhan Nasser2, Aron Soleiman3
1CUNY School of Medicine, New York, NY, USA.
Insights
Clot in transit (CIT), a dangerous condition where a blood clot lodges in the right heart, requires prompt management. This case study highlights successful medical treatment for CIT, a rare but life-threatening venous thromboembolism.
Area of Science:
- Cardiology
- Vascular Medicine
- Critical Care Medicine
Background:
- Clot in transit (CIT) is a rare but life-threatening condition involving venous thromboembolism lodged in the right heart.
- CIT occurs in up to 18% of massive pulmonary embolism cases, with untreated mortality rates of 80-100%.
Purpose of the Study:
- To present a case of Clot in Transit (CIT) successfully treated with medical management.
- To emphasize the critical need for prompt identification and management of CIT due to high mortality.
Main Methods:
- Case report of a 44-year-old female patient diagnosed with CIT.
- Treatment focused on medical management strategies.
Main Results:
- Successful treatment of CIT was achieved through medical management.
- The case underscores the importance of recognizing and intervening in CIT.
Conclusions:
- Clot in transit (CIT) is a critical medical emergency requiring immediate attention.
- Risk factors for CIT include heart failure, central venous catheters, and recent hospitalization.
- Emerging interventions offer new hope for CIT treatment.
Abstract:
Clot in transit (CIT) is a rare condition in which a venous thromboembolism becomes lodged in the right heart. It is seen in up to 18% of patients with massive pulmonary embolism, and if left untreated, mortality rates are between 80% and 100%. The identification and management of CIT are crucial. However, there are no current guidelines for the treatment of CIT. We present the case of a 44-year-old woman who was found to have CIT that was ultimately treated with medical management.
Learning Points:
Clot in transit (CIT) is a dangerous entity that must be promptly managed.Risk factors for CIT include a history of heart failure, a pre-existing central venous catheter and recent hospitalization.New interventions are emerging for the treatment of CIT.
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