[Right atrial thrombosis and pulmonary embolism: role of echocardiography].
The echocardiographic detection of a right thromboembolus, although rare, should be considered as a cardiological emergency that could lead to death for massive pulmonary embolism. The case of a 70 year-old man admitted to our Institution with the suspicion of pulmonary embolism is described. The echocardiogram performed showed a large mobile thrombus in the right atrium prolapsing through the tricuspid valve during diastole. After thrombolytic therapy with r-TPA, the patient faced a progressive hemodynamic deterioration and died of electromechanical dissociation.
Colletta
M
M
Servizio di Cardiologia con UTIC, Ospedale Civile A. Murri, Fermo, Ascoli Piceno.
Paoloni
P
P
Ciliberti
D
D
De Castro
U
U
Capone
P
P
D000368:Aged; D016280:Atrial Function, Right; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000503:physiopathology*