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Sakellariou XM, Efstathopoulos A, Stamatis KV, et al. Treatment of Mobile Right Heart Thrombi. Eur J Case Rep Intern Med. 2020;7(12):001918doi: 10.12890/2020_001918.
Sakellariou, X. M., Efstathopoulos, A., Stamatis, K. V., Nikas, D. N., & Kolettis, T. M. (2020). Treatment of Mobile Right Heart Thrombi. European journal of case reports in internal medicine, 7(12), 001918. https://doi.org/10.12890/2020_001918
Sakellariou, Xenofon M, et al. "Treatment of Mobile Right Heart Thrombi." European journal of case reports in internal medicine vol. 7,12 (2020): 001918. doi: https://doi.org/10.12890/2020_001918
Sakellariou XM, Efstathopoulos A, Stamatis KV, Nikas DN, Kolettis TM. Treatment of Mobile Right Heart Thrombi. Eur J Case Rep Intern Med. 2020 Sep 17;7(12):001918. doi: 10.12890/2020_001918. eCollection 2020. PMID: 33313001; PMCID: PMC7727624.
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Eur J Case Rep Intern Med. 2020 Sep 17;7(12):001918. doi: 10.12890/2020_001918. eCollection 2020.

Treatment of Mobile Right Heart Thrombi.

European journal of case reports in internal medicine

Xenofon M Sakellariou, Andreas Efstathopoulos, Konstantinos V Stamatis, Dimitrios N Nikas, Theofilos M Kolettis

Affiliations

  1. 1st Cardiology Department, School of Medicine, University of Ioannina, Ioannina. Greece.

PMID: 33313001 PMCID: PMC7727624 DOI: 10.12890/2020_001918

Abstract

Right heart thrombi are detected in approximately 4% of patients with pulmonary embolism. The associated mortality is high, but the optimal strategy remains controversial. We report a case of a large mobile right heart thrombus, complicated by embolism of the right pulmonary artery, which was successfully treated with half-dose alteplase. We briefly review the literature and discuss the therapeutic options, focusing on the advantages of thrombolysis.

LEARNING POINTS: Mobile right heart thrombi require rapid therapeutic choices between surgical thrombectomy and thrombolysis.Half-dose alteplase may be effective, even in the presence of an extensive thrombus burden.

© EFIM 2020.

Keywords: Mobile right heart thrombi; half-dose alteplase; pulmonary embolism

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

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