Pulmonary Embolism with Thrombus in Transit Case Report
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Abstract
A clinical case is presented at the Hospital Centenario Miguel Hidalgo with a diagnosis of pulmonary thromboembolism with a thrombus in transit and dysfunction of the right cavities, secondary to immobilization due to a history of previous spinal surgery as an ankylosing spondylitis treatment. He was admitted to the emergency room with typical symptoms of the entity, evidenced by angiotomography, later a transthoracic echocardiogram was performed, presenting the characteristic echocardiographic signs of right ventricular dysfunction and evidence of mobile thrombus in the right cavities, for which reason fibrinolytic therapy was decided with success, evidenced in transthoracic echocardiography with improvement of ventricular systolic function and strain.
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References
I. Keller K, Hobohm L, Ebner M, Kresoja KP, Munzel T, Konstantinides SV, Lankeit
M. Trends in thrombolytic treatment and outcomes of acute pulmonary embolism in Germany. Eur Heart J 2020;41:522529
II. Kinney EL, Wright RJ. Efficacy of treatment of patients with echocardiographically detected right-sided heart thrombi: A meta-analysis. Am Heart J 1989; 118: 569–573.
III. Huisman, M., Barco, S., Cannegieter, S. et al. Pulmonary embolism. Nat Rev Dis Primers 4, 18028 (2018).
IV. Stavros V Konstantinides, Guy Meyer Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC), European Heart Journal, Volume 41, Issue 4, 21 January 2020, Pages 543–603,
V. Shamkhani W, Jafar N, Narayanan S, et al. Right heart thrombus in-transit in patient with acute pulmonary embolism treated by thrombolytic therapy with tenectplase. International Journal of Medical Imaging. 2015;3:11-5.
VI. Casazza F, Bongarzoni A, Centonze F, Morpurgo M. Prevalence and prognostic signifi cance of right-sided cardiac mobile thrombi in acute massive pulmonary embolism. Am J Cardiol. 1997;15:1433-1435.
VII. Carrillo-Esper R, Cruz-Bautista I, Guizar-Flores S. Trombo ventricular derecho en tránsito tipo B. Gac Méd Méx. 2001;137:355-356.
VIII. Perello leonel, trombo en transito de cavidades derechas,revista conarec 2014;30(127):304-306
IX. Athappan G, Sengodan P, Chacko P, et al. Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis. Vasc Med. 2015;20:131-8
X. Otoupalova E, Dalal B, Renard B. Crit Ultrasound J. Right heart thrombus in transit: a series of two cases. 2017;9:14
XI. Rose P, Punjabi N, Pearse D. Treatment of right heart thromboemboli. Chest. 2002;121:806-14.
XII. Athappan G, Sengodan P, Chacko P, Gandhi S, Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis.. Vasc Med. 2015;20:131–138
XIII. Português J, Calvo L, Oliveira M, et al. Pulmonary embolism and intracardiac Type A thrombus with an unexpected outcome. Case Rep Cardiol. 2017;2017:9092576
XIV. Maruri-Sánchez, Un trombo ventricular de origen desconocido, Arch Cardiol Mex. 2019;89(3):288-290
XV. Mollazadeh R, Ostovan MA, Abdi Ardekani AR. Right cardiac thrombus in transit among patients with pulmonary thromboemboli. Clin Cardiol 2009; 32: E27–31.