[Dissolution of a right cardiac migrant thromboembolus in pulmonary embolism after treatment with rt-PA. Report of a successfully treated case].
We report the clinical, echocardiographic and therapeutic aspect of one case of right cardiac migrant thromboembolus in pulmonary embolism. Medical therapy consisted of tissue plasminogen activator (rt-PA, 100 mg/3h). Progressive reduction of thromboembolus until its disappearance was observed by echo 2D after this therapy. Ec 2D may be an important test in diagnosing pulmonary embolism when perfusion lung scans (extremely sensitive but non specific test) or pulmonary angiography (the most accurate test) are not available at hospital and patient cannot be transferred for his critical illness.
Minutiello
L
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Divisione di Cardiologia, Regione Marche, USSL 20, Presidio Ospedaliero di Camerino, Macerata.
D000368:Aged; D001281:Atrial Fibrillation / Q000000981:diagnostic imaging / Q000209:etiology; D004452:Echocardiography; D004562:Electrocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D016491:Peripheral Vascular Diseases / Q000517:prevention & control; D011655:Pulmonary Embolism / Q000150:complications / Q000601:surgery*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D006493:Heparin; D010959:Tissue Plasminogen Activator