title: Silent Pulmonary Embolism of a Large Right Atrial Thrombus.
abstract: We report the case of a patient who was admitted to the hospital with acute pulmonary embolism 2 weeks after a complicated pelvis fracture. Echocardiography revealed a large, long, and mobile thrombus in the right atrium. The patient was scheduled to undergo urgent surgical thrombectomy. Preoperative echocardiography did not detect any thrombi in the right heart and pulmonary artery. The obvious embolism of this large thrombus in the pulmonary circulation was silent as the patient remained asymptomatic and hemodynamically stable. We discuss the contribution of echocardiography to the appropriate therapeutic management of right atrial thrombi and particularly to the cancellation of urgent operative thrombectomy.
authors.affiliation: Granikou Street, 16233 Vironas, Athens, Greece.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Tsoukas
authors.forename: George
authors.initials: G
authors.lastname: Athanasopoulos
authors.forename: Ioannis
authors.lastname: Koliandris
authors.forename: Maria
authors.initials: M
authors.lastname: Koutelou
authors.forename: Marina
authors.initials: M
authors.lastname: Ritsou
authors.forename: Stamatios
authors.initials: S
authors.lastname: Christakos
authors.forename: Dennis V.
authors.initials: DV
authors.lastname: Cokkinos