Concurrent Mobile and In-Situ types of Right-sided Heart Thrombi: a rare case report

 Introduction: Right-sided Heart Thrombi (RHT) is detected by trans-thoracic echocardiography but coexistence of mobile and broad-based In-Situ thrombosis is a rare presentation.  Case presentation: We present a case of right atrial thrombosis in a 71 years old Caucasian man with history of corpulmonale who referred with tachypnea and dyspnea to the emergency department. The anticoagulant therapy with heparin was ineffective, so the patient undergone thrombolytic therapy with Streptokinase which resulted in disappearing the clots and the patient was discharged from the hospital with a stable condition.  Conclusion: RHT is a life-threatening condition that needs an immediate therapy. Generally, Thrombolysis considered as the treatment of choice but the treatment selection remains controversial and requires further prospective studies.