open access

Vol 66, No 6 (2008)
Other
Published online: 2008-06-23
Submitted: 2012-12-28
Get Citation

Case report
‘Thrombus in transit’ – two cases of patients with massive pulmonary embolism treated with thrombolysis

Waldemar Elikowski, Małgorzata Małek, Joanna Bestrzyńska, Rafał Kolasiński, Małgorzata Ściskała, Wojciech Sarnowski
Kardiol Pol 2008;66(6):669-676.

open access

Vol 66, No 6 (2008)
Other
Published online: 2008-06-23
Submitted: 2012-12-28

Abstract

Two cases of large, free-floating right heart thrombi in patients with massive pulmonary embolism and a history of deep vein thrombosis are presented. In a 30-year-old male with prominent obesity and a history of hypertension, disappearance of the thrombus at the end of alteplase infusion coexisted with onset of haemodynamic stabilization. In a 70-year-old female, the thrombus, which persisted despite streptokinase administration, translocated suddenly (during echocardiography) to the pulmonary artery, which resulted in a deterioration in her status. After alteplase administration following heparin infusion, steady clinical and echocardiographic improvement was observed.

Abstract

Two cases of large, free-floating right heart thrombi in patients with massive pulmonary embolism and a history of deep vein thrombosis are presented. In a 30-year-old male with prominent obesity and a history of hypertension, disappearance of the thrombus at the end of alteplase infusion coexisted with onset of haemodynamic stabilization. In a 70-year-old female, the thrombus, which persisted despite streptokinase administration, translocated suddenly (during echocardiography) to the pulmonary artery, which resulted in a deterioration in her status. After alteplase administration following heparin infusion, steady clinical and echocardiographic improvement was observed.
Get Citation

Keywords

mobile right heart thrombus; pulmonary embolism; thrombolysis; alteplase

About this article
Title

Case report
‘Thrombus in transit’ – two cases of patients with massive pulmonary embolism treated with thrombolysis

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 6 (2008)

Pages

669-676

Published online

2008-06-23

Bibliographic record

Kardiol Pol 2008;66(6):669-676.

Keywords

mobile right heart thrombus
pulmonary embolism
thrombolysis
alteplase

Authors

Waldemar Elikowski
Małgorzata Małek
Joanna Bestrzyńska
Rafał Kolasiński
Małgorzata Ściskała
Wojciech Sarnowski

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., Świętokrzyska 73 street, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl