title: [Pulmonary embolism. A case report of right atrial thromboembolism treated by thrombolysis].
abstract: This case report describes a 40-years-old man affected by fracture of leg and pulmonary embolism. Two-dimensional echocardiography showed a large right atrial migrant thromboembolus prolapsing into tricuspid valve during diastole. The patient was treated with rt-PA through right atrial venous catheter and underwent to serial echocardiographic examinations. The rt-PA determined the dissolution of the thrombo-embolus at the 2nd hour of infusion. It is concluded that early two-dimensional echocardiography might be a very helpful technique to diagnose and follow-up therapy of pulmonary embolism.
authors.affiliation: U.O. di Medicina interna I, Ospedale di Santa Maria Nuova, USL 10/A, Firenze.
authors.forename: M L
authors.initials: ML
authors.lastname: Monaldi
authors.forename: M
authors.initials: M
authors.lastname: Milli
authors.forename: A
authors.initials: A
authors.lastname: Lagi
mesh_terms: D000328:Adult; D006325:Heart Atria; D006331:Heart Diseases / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000188:drug therapy* / Q000209:etiology; D011994:Recombinant Proteins / Q000008:administration & dosage; D012074:Remission Induction; D013923:Thromboembolism / Q000188:drug therapy* / Q000209:etiology; D015912:Thrombolytic Therapy; D013978:Tibial Fractures / Q000150:complications; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D011994:Recombinant Proteins; D010959:Tissue Plasminogen Activator
vernacular_title: Embolia polmonare. Descrizione di un caso di tromboembolia atriale destra trattata con trombolisi.