[The echocardiographic demonstration of a right atrial thrombus and its embolization into the lung].
A 43-year-old man was hospitalized because of extensive bilateral pulmonary tuberculosis. After several weeks of tuberculostatic treatment--at first applied orally, then because of nausea and vomiting parenterally via a central venous catheter--he acutely developed nocturnal dyspnoea and symptoms of shock requiring artificial ventilation. Echocardiography demonstrated dilatation of the right ventricle and a large floating thrombus in the right atrium. During the examination complete displacement of the worm-like thrombus into the pulmonary artery was observed echocardiographically. Despite anticoagulation and immediate operation the patient died 2 days later of protracted shock. The thrombus was found to have been formed in the superior vena cava after placement of the central venous catheter.
Gehling
U
U
Abteilung Innere Medizin-Pneumologie, Heidelberg.
Jackowski
M
M
Wiebel
M
M
Becker
H
H
D000328:Adult; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008168:Lung / Q000473:pathology; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D014683:Vena Cava, Superior / Q000473:pathology
Echokardiographischer Nachweis eines rechtsatrialen Thrombus und seiner Embolisation in die Lunge.