scholarly journals Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism

CASE ◽  
2019 ◽  
Vol 3 (6) ◽  
pp. 272-276
Author(s):  
Everett Lai ◽  
Shudhanshu Alishetti ◽  
Jonathan M. Wong ◽  
Lejla Delic ◽  
Glenn Egrie ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Ventricular Thrombus ◽  
In Transit

scholarly journals RIGHT VENTRICULAR THROMBUS IN TRANSIT: RAISING THE STAKES IN THE MANAGEMENT OF PULMONARY EMBOLISM

2019 ◽  
Vol 73 (9) ◽  
pp. 2844 ◽  
Author(s):  
Everett Lai ◽  
Shudhanshu Alishetti ◽  
Jonathan Wong ◽  
Lejla Delic ◽  
Andrew Rosenblatt ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Ventricular Thrombus ◽  
In Transit

Right Ventricular Thrombus Formation and Pulmonary Embolism as a Complication of Behçet Disease: Case Report

2015 ◽  
Vol 27 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Nesimi YAVUZ ◽  
Turgut KARABAĞ ◽  
Mehmet ÇABUK ◽  
Muhammet Raşit SAYIN ◽  
Ziyaettin AKTOP ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Right Ventricular ◽  
Thrombus Formation ◽  
Behçet Disease ◽  
Behcet Disease ◽  
Ventricular Thrombus ◽  
Disease Case

scholarly journals Pulmonary embolism with right ventricular thrombus: a management dilemma

2019 ◽  
Vol 12 (2) ◽  
pp. e229184 ◽  
Author(s):  
Mark Mujer ◽  
Yehia Saleh ◽  
Calvin Abro ◽  
Samanjit Kaur Kandola
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Ventricular Thrombus

scholarly journals Massive pulmonary embolism and thrombus-in-transit via a patent foramen ovale: a case report of successful use of extracorporeal membrane oxygenation to manage post-embolectomy severe right ventricular dysfunction

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Helen Saunders ◽  
Abdulwahab Al Khalifa ◽  
Angel Espinosa ◽  
Manish Jain
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Right Ventricular ◽  
Patent Foramen Ovale ◽  
Acute Pulmonary Embolism ◽  
Right Ventricular Dysfunction ◽  
Sudden Onset ◽  
Foramen Ovale ◽  
Mortality And Morbidity ◽  
In Transit

Abstract Background Pulmonary embolism with thrombus-in-transit through a patent foramen ovale is rare. It may present with neurological sequalae and rapid diagnosis is needed to prevent mortality and morbidity. The European Society of Cardiology (ESC) published guidelines in 2019 for diagnosis and management of acute pulmonary embolism which were useful in this case. Case summary A 32-year-old sedentary male presented with sudden onset shortness of breath, syncope, a probable seizure, and chest pain. Investigations showed an acute pulmonary embolism with mobile thrombus in the right atrium and right ventricle and also thrombus-in-transit passing through a patent foramen ovale into the left atrium. He was resuscitated and rapidly transferred to theatre where he underwent surgical thromboembolectomy. There was difficulty in separating him from cardiopulmonary bypass due to right ventricular failure and he was initiated on extracorporeal membrane oxygenator support. He recovered fully and was discharged home after 43 days. Discussion This case report highlights the presentation of this rare diagnosis and discusses the management of acute pulmonary embolism according to recent ESC guidelines.

scholarly journals The dilemma in the management of haemodynamically stable pulmonary embolism with right heart thrombus

2019 ◽  
Vol 12 (7) ◽  
pp. e229162 ◽  
Author(s):  
Manoj P Rai ◽  
Khadar Herzallah ◽  
Ahmad Alratroot ◽  
Heather Laird-Fick
Keyword(s):  
Pulmonary Embolism ◽  
Cardiac Arrest ◽  
Right Ventricular ◽  
Favourable Outcome ◽  
Pulmonary Vasculature ◽  
Right Heart ◽  
Ventricular Thrombus ◽  
Life Threatening

Right ventricular thrombus (RVT) can be life-threatening, since it has the potential to embolise and cause saddle pulmonary embolism (PE). We present a patient who initially presented with haemodynamically stable PE with evidence of RVT on echocardiogram. She was placed on heparin drip; however, she later developed cardiac arrest and died due to embolisation of RVT to the pulmonary vasculature. Although management of haemodynamically stable PE in patients with RVT is still a matter of debate, 1 given the outcome we suggest that thrombolysis or emergent embolectomy at the presentation, in this case, may have had a favourable outcome.

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