Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome
المؤلفون المشاركون
Português, João
Calvo, Lucy
Oliveira, Margarida
Pereira, Vítor Hugo
Guardado, Joana
Lourenço, Mário Rui
Azevedo, Olga
Ferreira, Francisco
Canário-Almeida, Filipa
Lourenço, António
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-04-02
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Detection of right heart thrombi (RHT) in the context of pulmonary thromboembolism (PE) is uncommon (4–18%) and increases the risk of mortality beyond the presence of PE alone.
Type A thrombi are serpiginous and highly mobile and are thought to be originated from large veins and captured in-transit within the right heart.
Optimal management of RHT is still uncertain.
A 79-year-old woman, with a history of recent total hysterectomy with adnexectomy and a Wells procedure, presented to the emergency department following an episode of syncope.
Computed tomography revealed bilateral PE and the presence of a right atrial thrombus.
Transthoracic echocardiography demonstrated a free-floating type A thrombus in the right atrium, protruding into the right ventricle, and signs of pulmonary hypertension and right ventricle dysfunction.
Considering the recent surgery and clinical stability, treatment with heparin alone was decided.
Subsequent clinical improvement was observed and echocardiographic follow-up revealed complete thrombus dissolution and complete recovery of right ventricle function.
Most authors recommend treatment of PE with RHT with thrombolysis or embolectomy followed by anticoagulation, although evidence is scarce.
Individual risk of hemorrhage and operatory-related mortality should be taken into account when defining the treatment strategy especially when benefit is not firmly established.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Português, João& Calvo, Lucy& Oliveira, Margarida& Pereira, Vítor Hugo& Guardado, Joana& Lourenço, Mário Rui…[et al.]. 2017. Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144242
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Português, João…[et al.]. Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome. Case Reports in Cardiology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1144242
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Português, João& Calvo, Lucy& Oliveira, Margarida& Pereira, Vítor Hugo& Guardado, Joana& Lourenço, Mário Rui…[et al.]. Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144242
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1144242
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر