title: Free floating thrombus in the right atrium causing massive pulmonary embolism.
abstract: The movement of thrombi migrating from the veins of the lower limbs can give rise to pulmonary emboli within 24 hours. This is manifested as massive pulmonary embolism in 30% of cases, with a mortality rate of around 50%. Free-floating thrombi within the right cardiac cavities are rare, and the diagnosis is made mainly by transthoracic and transoesophageal echocardiography. Treatment includes surgery, invasive percutaneous embolectomy, thrombolysis and heparin administration. Here we report the case of an 80-years-old patient with massive pulmonary embolism caused by a free floating thrombus within the right atrium. Tenecteplase was administered with excellent results.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Tsarouhas
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kafantaris
authors.forename: Athanasios
authors.initials: A
authors.lastname: Antonakopoulos
authors.forename: Georgios
authors.initials: G
authors.lastname: Limberopoulos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kouzanidis
authors.forename: Spiridoula
authors.initials: S
authors.lastname: Vavetsi
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Garyfallos
authors.forename: Loizos
authors.initials: L
authors.lastname: Konstantinou
mesh_terms: D000074:Acenocoumarol / Q000627:therapeutic use; D000369:Aged, 80 and over; D004452:Echocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006321:Heart; D006325:Heart Atria; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D012720:Severity of Illness Index; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D005343:Fibrinolytic Agents; D000074:Acenocoumarol