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Acute Right Intracardiac Thrombus-in-Transit Complicated by Submassive Pulmonary Embolism

Cardiovascular Imaging Asia 2021년 5권 1호 p.13 ~ 15
Shariff Raja Ezman Raja, Zaman Nazurah Badrul, Razi Adli Azam Mohamad, Khir Rizmy Najme, Kasim Sazzli,
소속 상세정보
 ( Shariff Raja Ezman Raja ) - Universiti Teknologi MARA
 ( Zaman Nazurah Badrul ) - Universiti Teknologi MARA
 ( Razi Adli Azam Mohamad ) - Universiti Teknologi MARA
 ( Khir Rizmy Najme ) - Universiti Teknologi MARA
 ( Kasim Sazzli ) - Universiti Teknologi MARA

Abstract


A 61-year-old female presented with symptoms suggestive of congestive cardiac failure that was confirmed on transthoracic echocardiography (TTE) with the absence of an intracardiac thrombus. In the hospital, she suffered episodes of syncope, prompting further investigations. Repeat TTE revealed an acute mobile right atrial thrombus, and CT imaging of the pulmonary artery confirmed the presence of a massive pulmonary embolism (PE). Despite a low pulmonary embolism severity index (PESI) score, the patient underwent surgical pulmonary embolectomy. The prevalence of right-sided thrombi ranges between 4?18% in the presence of acute PE, and right-sided thrombi will almost always lead to PE. Our case highlights the limitation of the PESI score and emphasizes urgent management for the presence of a thrombus-in-transit, despite a low PESI score.

키워드

Pulmonary embolism; Intracardiac thrombus; Case report

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