Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism

Lai, Everett; Alishetti, Shudhanshu; Wong, Jonathan; Delić, L.; Egrie, Glenn; Rosenblatt, Alberto

doi:10.1016/j.case.2019.05.006

Cited by 23 publications

(23 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, some studies have reported improved survival with thrombolytic therapy alone [4]. Right heart TIT is stated to have a mortality rate of >25%, and it occurs in about 4% of patients with PE [1,5]. Our patient's TIT likely occurred due to a blood clot formation in the lower extremity and/or in combination with atrial fibrillation formation in situ [5].…”

Section: Discussionmentioning

confidence: 75%

“…A deep vein thrombus is a marker for venous thromboembolism (VTE); moreover, the location of that thrombus (iliac vs. femoral vs. popliteal veins) can be a cause of concern for PE and right heart thrombus. About 98% of TIT cases are known to be associated with PE [1]. There are therapeutic approaches available for the management of thrombi or emboli wherever it is located.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Thrombus in Transit: Extract or Dissolve?

Dhulipala

Fayoda

Kyaw

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Thrombus in Transit: Extract or Dissolve?

Dhulipala

Fayoda

Kyaw

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Right ventricular thrombi have been associated with increased mortality up to 45% despite treatment, which is significantly higher compared to the mortality of acute pulmonary embolism with reported mortality at 2.5% ( 3 ) . This makes the early detection of right ventricular thrombi imperative in order for early initiation of appropriate therapy.…”

Section: Discussionmentioning

confidence: 99%

POCUS in cardiac arrest and its therapeutic implications – a case report

Lim

See

2021

J Ultrason

View full text Add to dashboard Cite

Point of Care Ultrasound is an increasingly popular modality in the emergency department as well as in the critical care unit. Its applications are varied, centered on its role in diagnosis, thereby minimizing the time taken for the appropriate diagnosis to be made and hence incorporate definitive treatment. There are currently no international guidelines published with regards for point of care ultrasound in the context of cardiac arrest. We propose to delineate the impact of the role of point of care ultrasound in a patient with cardiac arrest, in the evaluation of the cause, its prognostic role, as well as possible implications for therapies based on a case report.

show abstract

“…Coagulopathy is a frequent finding in patients diagnosed with SARS-CoV-2, with multiple reports describing both arterial and venous thromboembolism, the latter with a frequency between 25 -49% [6,7]. RA/RV thrombus is an infrequent condition, which characteristically has been seen in association with pulmonary embolism, at a rate of about 4% [8]. Thrombi in the right heart are associated with considerably increased mortality, with some estimations suggesting a mortality of 27-45% despite treatment and nearing 100% if untreated [8].…”

Section: Discussionmentioning

confidence: 99%

“…RA/RV thrombus is an infrequent condition, which characteristically has been seen in association with pulmonary embolism, at a rate of about 4% [8]. Thrombi in the right heart are associated with considerably increased mortality, with some estimations suggesting a mortality of 27-45% despite treatment and nearing 100% if untreated [8]. According to a 1989 study done by the European Working Group on Echocardiography, RHT can be organized into three morphological types, Types A, B and C. Type A thrombi are serpiginous, elongated and highly mobile clots, commonly seen in association with DVT and pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

Right Heart Atrioventricular Thrombus in a SARS-CoV-2 Patient without Pulmonary Embolism: A Case Report

Solsi¹,

Gandhi²,

Sodhi³

et al. 2020

J Med Imaging Case Rep

View full text Add to dashboard Cite

SARS-CoV-2, the novel Coronavirus of 2019, and its associated coagulopathy has been reported to have many deleterious complications involving the cardiovascular system. Despite these many observed effects, there is a paucity of reports regarding SARS-CoV-2 and cardiac thrombus formation. In the absence of SARS-CoV-2, thrombi in the heart are typically seen in the left ventricle, with right heart thrombi (RHT) being very uncommon. When present, RHT are usually associated with pulmonary embolism (PE), which can lead to right sided heart failure in some cases. In rare instances, right heart thrombi are present in the absence of PE. In either situation, timely identification of RHT is critical as it carries a high mortality without timely treatment. Here, we present a unique case report detailing the presence of severe right heart failure from right atrioventricular thrombus without PE in a previously healthy patient diagnosed with SARS-CoV-2.

show abstract

Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism

Cited by 23 publications

References 15 publications

Thrombus in Transit: Extract or Dissolve?

Thrombus in Transit: Extract or Dissolve?

POCUS in cardiac arrest and its therapeutic implications – a case report

Right Heart Atrioventricular Thrombus in a SARS-CoV-2 Patient without Pulmonary Embolism: A Case Report

Contact Info

Product

Resources

About