Massive Pulmonary Embolism after Hip Surgery with a Mobile, Snake-Like Right Atrial Thrombus Successfully Treated with Open Heart Surgery
نویسندگان
چکیده
Surgical embolectomy for pulmonary embolism and intracardiac thrombus is a rare but occasionally required procedure that should be considered when anticoagulation and/or thrombolytic therapy is contraindicated or failed. We describe a patient with massive pulmonary embolism and a large, mobile, snake-like thrombus in the right atrium, as well as a patent foramen ovale, treated successfully by surgery.
منابع مشابه
Large Right Atrial Thrombus Associated with Central Venous Catheter Requiring Open Heart Surgery
Central venous catheters (CVC) are used commonly in clinical practice. Incidences of CVC-related right atrial thrombosis (CRAT) are variable, but, when right atrial thrombus is present, it carries a mortality risk of 18% in hemodialysis patients and greater than 40% risk in nonhemodialysis patients. Different pathogenic mechanisms have been postulated for the development of CRAT, which includes...
متن کاملSurgical embolectomy of a floating right heart thrombus and acute massive pulmonary embolism: report of a case.
Right heart thrombus represents a mobilized deep venous thrombosis that is lodged temporarily in the right atrium and ventricle, and is often referred to as "emboli in transit." Floating right heart thrombus is an uncommon but life-threatening condition, and usually coexists with an already massive pulmonary embolism. The presence of floating right heart thrombus appears to substantially increa...
متن کاملSuccessfully treated massive pulmonary thromboembolism and thrombus in the right atrium due to diffuse malignant lymphoma: a case report.
A 40-year-old man presented with massive pulmonary embolism related to diffuse large B cell lymphoma. His hemodynamic state worsened rapidly to shock after sudden onset of dyspnea. Echocardiography and thoracic computed tomography indicated pulmonary thromboembolism due to deep venous thromboembolism, associated with a mass in the anterior mediastinum and a 5 x 8 cm mass in the left pelvis comp...
متن کاملRole of hybrid operating room in surgery for the right atrial thrombus, pulmonary thrombi, and ventricular septal rupture after myocardial infarction
Free-floating right heart thrombi are uncommon and need emergency treatment in view of their tendency to dislodge and cause pulmonary embolism. We report a successful surgical management of a patient who had large mobile right atrial thrombus, bilateral pulmonary thrombi, coronary artery disease, and postmyocardial infarction ventricular septal rupture (VSR). The patient underwent coronary angi...
متن کاملThrombus in transit: traveling from the inferior vena cava to the left ventricle
A 54-year-old previously healthy woman presented with shortness of breath following a long car journey. The patient was found to have massive pulmonary embolism on computed tomography (CT) angiography (Fig. 1). Transthoracic echocardiography showed a dilated and poor-functioning right ventricle with a snake-like large mobile thrombus extending from the inferior vena cava (Video 1) to the right ...
متن کامل