[Fibrinolytic treatment of thrombus of the right atrium causing severe pulmonary embolism].
A case of acute pulmonary embolism and right atrial thrombus "in transit" treated with recombinant tissue plasmin activator is described. An early echocardiographic study in acute pulmonary embolism can detect right atrial thrombus in 15% of the time. It is well known that this finding is associated with poor prognosis, but the best treatment is controversial. The present case, in accordance with other previous reports, suggests the use of systemic fibrinolytic therapy in patients with right atrial thrombus and pulmonary embolism in course.
Bardají
A
A
Sección de Cardiología, Hospital Universitario de Tarragona Joan XXIII.
Castander
D
D
Guarinos
J
J
Ridao
C
C
Richart
C
C
D000368:Aged; D004452:Echocardiography; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D010960:Plasminogen Activators / Q000627:therapeutic use*; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator
Tratamiento fibrinolítico de un trombo en la aurícula derecha que causa una embolia pulmonar grave.