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Kardiologia Polska (Polish Heart Journal)
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open access

Vol 63, No 12 (2005)
Other
Published online: 2005-12-14
Submitted: 2012-12-28
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Case report
Right atrial mobile thrombus in a patient with acute, massive pulmonary embolism effectively treated with thrombolysis – a case report

Katarzyna Kurnicka, Krzysztof Jankowski, Michał Ciurzyński, Barbara Lichodziejewska, Piotr Bienias, Danuta Liszewska-Pfejfer
Kardiol Pol 2005;63(12):645-647.

open access

Vol 63, No 12 (2005)
Other
Published online: 2005-12-14
Submitted: 2012-12-28

Abstract

A 74-year old woman was admitted to the orthopaedic word due to femoral bone fracture. Six days later she was admitted to the intensive care unit because of the clinical signs of circulatory and respiratory failure. Because acute pulmonary embolism was suspected, transthoracic echocardiography was performed and showed typical signs of acute massive pulmonary embolism as well as a highly mobile, longitudinal, additional echo in the right atrium attached to the interatrial septum in the place of foramen ovale, prolapsing in the diastole into the right ventricle. The patient was immediately and successfully treated with thrombolysis. Treatment options in patients with acute pulmonary embolism and right atrial mobile thrombus are discussed.

Abstract

A 74-year old woman was admitted to the orthopaedic word due to femoral bone fracture. Six days later she was admitted to the intensive care unit because of the clinical signs of circulatory and respiratory failure. Because acute pulmonary embolism was suspected, transthoracic echocardiography was performed and showed typical signs of acute massive pulmonary embolism as well as a highly mobile, longitudinal, additional echo in the right atrium attached to the interatrial septum in the place of foramen ovale, prolapsing in the diastole into the right ventricle. The patient was immediately and successfully treated with thrombolysis. Treatment options in patients with acute pulmonary embolism and right atrial mobile thrombus are discussed.

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Keywords

acute massive pulmonary embolism; mobile thrombus; thrombolysis; echocardiography

About this article
Title

Case report
Right atrial mobile thrombus in a patient with acute, massive pulmonary embolism effectively treated with thrombolysis – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 12 (2005)

Pages

645-647

Published online

2005-12-14

Bibliographic record

Kardiol Pol 2005;63(12):645-647.

Keywords

acute massive pulmonary embolism
mobile thrombus
thrombolysis
echocardiography

Authors

Katarzyna Kurnicka
Krzysztof Jankowski
Michał Ciurzyński
Barbara Lichodziejewska
Piotr Bienias
Danuta Liszewska-Pfejfer

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