Mobile right heart thrombus and massive pulmonary embolism.
The current report describes a patient with pulmonary embolism, treated unsuccessfully with heparin. Transthoracic echocardiography revealed free-floating right heart thrombus. Migrating deep vein thrombus to the right heart was suspected. Transesophageal echocardiography confirmed origin of the thrombus in the inferior cava vein. Mortality rate of mobile right heart thrombus is over 40%, therefore urgent surgical embolectomy was performed with relief of symptoms.
de Vrey
Evelyn A
EA
Cardiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands. e.a.de_vrey@lumc.nl
Bax
Jeroen J
JJ
Poldermans
Don
D
van der Wall
Ernst E
EE
Holman
Eduard R
ER
D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery