Transthoracic echocardiography documents prompt resolution of right atrial thrombus after thrombolytic therapy.
Right atrial thrombi represent pulmonary emboli in transit, and they may be fatal in patients treated conservatively with anticoagulation. This case provides an opportunity to review echocardiographic findings and management decisions in this disease entity. As the literature now favors thrombolytic therapy in suitable patients, we present a case in which transthoracic echocardiography provided rapid assessment of the outcome of this form of therapy.
Lee
K S
KS
Cleveland Clinic Foundation, Department of Cardiology, OH 44195.
Pashkow
F J
FJ
Homa
D A
DA
Salcedo
E E
EE
D000328:Adult; D004452:Echocardiography; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000188:drug therapy; D015912:Thrombolytic Therapy; D013924:Thrombophlebitis / Q000188:drug therapy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D010959:Tissue Plasminogen Activator; D014568:Urokinase-Type Plasminogen Activator