کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2651793 1139531 2014 3 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Large embolus in transit – An unresolved therapeutic dilemma (case report and review of literature)
ترجمه فارسی عنوان
آمبولی بزرگ در انتقال؛ معضل درمان حل نشده (گزارش مورد و بررسی ادبیات)
کلمات کلیدی
ترومبوز قلب راست؛ اکوکاردیوگرافی ؛ مراقبت‌های ویژه؛ درمان ترومبولیتیک
Right heart thrombus; Transthoracic echocardiography; Critical care; Thrombolytic therapy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

Floating right heart thrombus, also known as “emboli in transit” is a potentially fatal condition, of varying etiology and usually coexisting with massive pulmonary embolism. Although the mortality rate is as high as 40%, there are no established therapeutic guidelines. A case is presented of an 84 year old female with a history of colon cancer and coronary artery disease who presented with sudden onset unresponsiveness. She was intubated in the ED and started on intravenous pressor support. A free floating large right ventricular thrombus and dilated right ventricle were noted on transthoracic echocardiogram (TTE). She was managed medically with good short term outcome. Floating right heart thrombus is a rare occurrence. Recognition of signs and symptoms along with early TTE is critical for diagnosis and consideration of treatment modality. The existing literature does not offer a clear consensus for management of pulmonary embolism with co-existing mobile intra-cardiac thrombus. Choice of treatment is crucial and should be considered on a case-by-case basis after careful assessment of indications, contraindications, risks and benefits.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 43, Issue 2, March–April 2014, Pages 152–154
نویسندگان
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