title: [Mobile right heart thrombus with minimal pulmonary embolism. A case report].
abstract: The generalisation of the use of transthoracic echocardiography in the investigation of pulmonary embolism leads to the diagnosis of mobile right heart thrombus in about 5% of cases. A review of the literature shows that this association is mainly observed in clinically severe pulmonary embolism. The presence of a mobile right heart thrombus is associated with a poor prognosis and emergency treatment is based on thrombolytic therapy or surgical embolectomy. In minimal or infraclinical pulmonary embolism, the finding of a mobile right heart thrombus is rare and there is no consensus about its treatment. The authors report the case of a 61 year old man admitted to hospital for bilateral deep vein thrombosis with no symptoms of pulmonary embolism in whom investigations revealed a mobile right heart thrombus with minimal pulmonary embolism. The outcome was favourable with progressive resolution of the right heart thrombus with oral anticoagulation after three weeks of heparin therapy.
authors.affiliation: Service de cardiologie, centre hospitalier intercommunal Poissy/Saint-Germain-en-Laye, 20, rue Armagis, 78100 Saint-Germain-en-Laye.
authors.forename: L
authors.initials: L
authors.lastname: Uzan
authors.forename: D
authors.initials: D
authors.lastname: Detaint
authors.forename: G
authors.initials: G
authors.lastname: Leroy
authors.forename: H
authors.initials: H
authors.lastname: Phung
authors.forename: M
authors.initials: M
authors.lastname: Meddane
authors.forename: I
authors.initials: I
authors.lastname: Chiorescu
authors.forename: R
authors.initials: R
authors.lastname: Haïat
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D003328:Coronary Thrombosis / Q000150:complications* / Q000473:pathology; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology; D012720:Severity of Illness Index; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications
chemical_list: D000925:Anticoagulants; D006493:Heparin
vernacular_title: Thrombus mobile intracavitaire droit associé à une embolie pulmonaire minime. A propos d'un cas.