[A right atrial thrombus in transit: its echocardiographic diagnosis 72 hours before a pulmonary embolism].
We report a case of a 72-year-old woman with coronary artery disease in whom a thrombus in transit in the right atrium was diagnosed accidentally. After 72 hours of treatment with intravenous anticoagulants she developed a pulmonary thromboembolism resolved with systemic fibrinolysis. This is a rare case in which such a diagnosis preceded an embolic event. This fact raises the controversy about the best therapeutic management of this unusual form of thromboembolic illness.
Valenzuela García
L F
LF
Servicio de Cardiología, Hospital Universitario Virgen Macarena, Sevilla.
Gallego García de Vinuesa
P
P
Rodríguez Revuelta
M
M
Calvo Jambrina
R
R
Pavón
R
R
Moreno Alba
R
R
Ríos Ramos
F
F
Cruz Fernández
J M
JM
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013997:Time Factors