Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8652326 | Annales de Cardiologie et d'Angéiologie | 2017 | 4 Pages |
Abstract
The presence of a right intraventricular thrombus is a marker of severity of pulmonary embolism (PE), and is associated with high mortality. We report the case of a young patient with a PE postoperative of patellar tendon surgery. The cardiac echocardiography at its admission revealed a voluminous mobile thrombus of 1.7Â cm diameter located on the pulmonary trunk. Systemic thrombolysis was performed because of respiratory deterioration allowing a rapid disappearance of the thrombus and recovery. Our case emphasizes the value of a complete ultrasound analysis centered on the pulmonary trunk in the case of intermediate-risk PE. No recommendation exists on the management of these right ventricular thrombi, thrombolysis appearing to be the first-line treatment.
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Authors
A. Rougé, L. Perriollat, M. Abdellaoui, B. Faurie, J. Monségu,