[Mobile right heart thrombus with minimal pulmonary embolism. A case report].
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.
Uzan
L
L
Service de cardiologie, centre hospitalier intercommunal Poissy/Saint-Germain-en-Laye, 20, rue Armagis, 78100 Saint-Germain-en-Laye.
Detaint
D
D
Leroy
G
G
Phung
H
H
Meddane
M
M
Chiorescu
I
I
Haïat
R
R
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
D000925:Anticoagulants; D006493:Heparin
Thrombus mobile intracavitaire droit associé à une embolie pulmonaire minime. A propos d'un cas.