Pulmonary thromboembolism and right heart thromboemboli--an experience with tenecteplase.
نویسندگان
چکیده
The presence of right heart thromboemboli complicating pulmonary thromboemboli carries with it an increased mortality rate compared to pulmonary thromboemboli alone, but little is known about the optimal management of this difficult clinical situation. We report a case of bilateral pulmonary thromboembolism with right heart thrombi treated successfully with thrombolysis with tenecteplase.
منابع مشابه
Treatment of right heart thromboemboli.
BACKGROUND The presence of right heart thromboemboli complicating pulmonary thromboemboli carries with it an increased mortality rate compared to pulmonary thromboemboli alone, but little is known about the optimal management of this difficult clinical situation. This fact is highlighted in the case study of a patient with a 19-cm right atrial thrombus complicating bilateral pulmonary thromboem...
متن کامل[Thrombus in transit and submassive pulmonary thromboembolism succesfully treated with tenecteplase].
Right heart thrombus is a slightly detectable condition. In patients presenting with acute pulmonary embolism, the finding of thrombus in transit has been associated with high in-hospital mortality. We present a case of a 50-year-old male patient with acute pulmonary embolism and a thrombus in transit in the right atrium. We took the decision to perform fibrinolysis with tenecteplase, presentin...
متن کاملThrombolytic therapy of right heart emboli-in-transit.
Currently, no consensus exists for the appropriate treatment of echocardiographically diagnosed mobile right heart masses giving rise to a high suspicion of migrant thromboembolism in patients with pulmonary embolism. This may lead to unnecessary delay in the implementation of the most appropriate treatment for these patients. Several earlier studies have supported the beneficial role of thromb...
متن کاملبررسی نقش ریسک فاکتورهای ژنتیکی و اکتسابی در سرنوشت آمبولی ریه
Background: Pulmonary embolism (PE) and deep venous thrombosis (DVT) constitute one of the “big three” cardiovascular killers, along with myocardial infarction and stroke. Although thrombophilia play major and well documented role in pathogenesis of arterial and venous thromboembolism, but the effect of thrombophilia in biological fat of thromboembolism is not well recognized. The role of acq...
متن کاملNew developments in the treatment of chronic thromboembolic pulmonary hypertension
Chronic thromboembolic pulmonary hypertension (CTEPH) is characterized by pulmonary arterial obstructions that typically result from non-resolving fibrotic organized pulmonary thromboemboli, causing elevated pulmonary vascular resistance, progressive pulmonary hypertension and, eventually, right heart failure. In more than 50% of patients, particularly those with a history of venous thromboembo...
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ورودعنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 60 شماره
صفحات -
تاریخ انتشار 2012