Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Vascular Medicine
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Brodmann, M.
Right arrow Articles by Pilger, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brodmann, M.
Right arrow Articles by Pilger, E.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Pulmonary embolism and intracardiac thrombi - individual therapeutic procedures

Marianne Brodmann

Division of Angiology, Department of Internal Medicine, Karl-Franzens University Graz, Graz, Austria

Gerhard Stark

Division of Angiology, Department of Internal Medicine, Karl-Franzens University Graz, Graz, Austria

Edmund Pabst

Division of Angiology, Department of Internal Medicine, Karl-Franzens University Graz, Graz, Austria

Andreas Lueger

Department of Internal Medicine, Karl-Franzens University Graz, Graz, Austria

Ernst Pilger

Division of Angiology, Department of Internal Medicine, Karl-Franzens University Graz, Graz, Austria

Mobile right heart thrombus is a severe but rare presentation of thromboembolic disease and usually coexists with an already massive pulmonary embolism (PE). But looking at the literature there is no clear consensus on therapeutic management. We therefore tried to find possible therapeutic guidelines and to evalute an optimal diagnostic procedure looking at three patients who presented at our department with mobile right heart thrombbus in the last year. The first patient with a small (diameter = 1 cm) thrombus in the right ventricle and peripheral pulmonary embolism underwent successful thrombolytic therapy without any complications. Patients II and III showed large intracardiac masses, in patient III extending into the superior vena cava, with central PE. These two patients underwent pulmonary arteriotomy. The diagnostic line in each case was transthoracal echocardiography followed by a helix lung CT scan. Only patients with small intracardiac thrombi and thrombotic masses in the peripheral pulmonary arteries but with hemodynamically significant PE should be treated with thrombolytic agents.

Key Words: intracardiac thrombi • pulmonary embolism • surgery • thrombolytic therapy

Vascular Medicine, Vol. 5, No. 1, 27-31 (2000)
DOI: 10.1177/1358836X0000500105
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 ChestHome page
P. S. Rose, N. M. Punjabi, and D. B. Pearse
Treatment of Right Heart Thromboemboli
Chest, March 1, 2002; 121(3): 806 - 814.
[Abstract] [Full Text] [PDF]