Imminent pulmonary embolism: A fatal mobile right atrial thrombus

Basarici I., YILMAZ H., DEMIR I., YALCINKAYA S.

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, cilt.22, sa.1, ss.55-58, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 1
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1007/s10554-005-7438-3
  • Dergi Adı: INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.55-58
  • Anahtar Kelimeler: cardiac thrombus, echocardiography, malignancy, mobile thrombus, pulmonary embolism, MOLECULAR-WEIGHT HEPARIN, VENOUS THROMBOEMBOLISM, RIGHT HEART, PREVENTION, MANAGEMENT, DIAGNOSIS, CANCER
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Right sided heart thrombi are infrequent and if they are mobile they may cause serious morbidity and mortality due to massive pulmonary embolism or paradoxical embolism. Malignancies are one of the important etiological factors for right heart thrombi. A patient with operated but recurrent ovarian carcinoma, presented with symptoms of heart failure was admitted to oncology department. Rapidly progressing dyspnea and a pre-syncope attack required consultation of a cardiologist and echocardiography revealed a mobile thrombus in the right atrium. Urgent open heart surgery was decided but imminent massive pulmonary embolism complicated the case leading to irreversible cardiogenic shock. By means of the presented case this paper overviews etiological factors and treatment options for right sided heart thrombi.