Free-floating thrombus in the right heart and pulmonary embolism.
We describe the case of a woman with acute pulmonary embolism and free-floating thrombus in the right heart. The diagnosis was performed using transthoracic echocardiography. The patient received urgent intravenous thrombolytic therapy with tissue plasminogen activator and vasoactive agent. This observation emphasizes the echocardiographic monitoring during thrombolysis in acute pulmonary embolism, allowing to strictly assess cardiac chamber sizes.
Mansencal
Nicolas
N
Dubourg
Olivier
O
D000369:Aged, 80 and over; D015897:Comorbidity; D004108:Dilatation, Pathologic; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology; D006352:Heart Ventricles; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000453:epidemiology; D014463:Ultrasonography