Concurrent Mobile and In Situ Types of Right Heart Thrombi

Right-sided heart thrombus is a life-threatening condition that necessitates immediate therapy. Detection of right-sided heart thrombus is usually via transthoracic echocardiography. Generally, thrombolysis is considered a treatment of choice, but there is currently no consensus about the optimal th...

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Main Authors: Alireza Rostamzadeh, Kamal Khademvatani, Yousef Rezaei, Nariman Sepehrvand
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-10-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/333
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author Alireza Rostamzadeh
Kamal Khademvatani
Yousef Rezaei
Nariman Sepehrvand
author_facet Alireza Rostamzadeh
Kamal Khademvatani
Yousef Rezaei
Nariman Sepehrvand
author_sort Alireza Rostamzadeh
collection DOAJ
description Right-sided heart thrombus is a life-threatening condition that necessitates immediate therapy. Detection of right-sided heart thrombus is usually via transthoracic echocardiography. Generally, thrombolysis is considered a treatment of choice, but there is currently no consensus about the optimal therapeutic choice. We present a case of multiple right atrial thrombi with concurrent mobile and broad-based in situ thrombi in a patient with a history of chronic obstructive pulmonary disease, which was completely resolved by thrombolysis following a failed Heparin infusion. The patient was sent home in good clinical condition and was stable at 3 months' follow-up.
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spelling doaj.art-a2e70eba621f4c5a83dfc0639f10b4bf2022-12-21T20:40:56ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-10-0192329Concurrent Mobile and In Situ Types of Right Heart ThrombiAlireza Rostamzadeh0Kamal Khademvatani1Yousef Rezaei2Nariman Sepehrvand3Seyyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran.Seyyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran.Seyyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran.National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.Right-sided heart thrombus is a life-threatening condition that necessitates immediate therapy. Detection of right-sided heart thrombus is usually via transthoracic echocardiography. Generally, thrombolysis is considered a treatment of choice, but there is currently no consensus about the optimal therapeutic choice. We present a case of multiple right atrial thrombi with concurrent mobile and broad-based in situ thrombi in a patient with a history of chronic obstructive pulmonary disease, which was completely resolved by thrombolysis following a failed Heparin infusion. The patient was sent home in good clinical condition and was stable at 3 months' follow-up.https://jthc.tums.ac.ir/index.php/jthc/article/view/333Thrombosis • Thrombolytic therapy • Echocardiography
spellingShingle Alireza Rostamzadeh
Kamal Khademvatani
Yousef Rezaei
Nariman Sepehrvand
Concurrent Mobile and In Situ Types of Right Heart Thrombi
Journal of Tehran University Heart Center
Thrombosis • Thrombolytic therapy • Echocardiography
title Concurrent Mobile and In Situ Types of Right Heart Thrombi
title_full Concurrent Mobile and In Situ Types of Right Heart Thrombi
title_fullStr Concurrent Mobile and In Situ Types of Right Heart Thrombi
title_full_unstemmed Concurrent Mobile and In Situ Types of Right Heart Thrombi
title_short Concurrent Mobile and In Situ Types of Right Heart Thrombi
title_sort concurrent mobile and in situ types of right heart thrombi
topic Thrombosis • Thrombolytic therapy • Echocardiography
url https://jthc.tums.ac.ir/index.php/jthc/article/view/333
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