alexa Successful Treatment of Right-Sided Heart Thrombus with Pulmonary Embolism with Thrombolytic Therapy | OMICS International | Abstract
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

Successful Treatment of Right-Sided Heart Thrombus with Pulmonary Embolism with Thrombolytic Therapy

Ehab Sobhy*
Sultan Qaboos University Hospital, Oman Tarek Alamaldine Sultan Qaboos University Hospital, Oman
Corresponding Author : Dr. Ehab Sobhy
Sultan Qaboos University Hospital, Oman
E-mail: [email protected]
Received August 06, 2013; Accepted August 26, 2013; Published September 02, 2013
Citation: Sobhy E, Alamaldine T, Sabti HA (2013) Successful Treatment of Right- Sided Heart Thrombus with Pulmonary Embolism with Thrombolytic Therapy. J Cardiovasc Dis Diagn 1:121. doi:
Copyright: © 2013 Sobhy E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

We report a case of a large mobile right-sided heart thrombus (2.8 cm × 2.7 cm) complicated with pulmonary embolism. We planned to give thrombolytic therapy with an alteplase infusion and to repeat the TTE, and if the thrombus remained, to go ahead with surgical embolectomy with exploration of the right chambers and removal of the thrombus. Surgical removal of the thrombus with pulmonary embolectomy has been validated, but as it is a high-risk intervention, we were advised to try treatment with thrombolytic therapy first. Thrombolytic therapy resulted in complete disappearance of the thrombus, as documented by TTE. The patient was discharged home on oral anticoagulation with regular follow-up in outpatient clinic and lifelong anticoagulation was advised, as she was diagnosed to have type III protein S deficiency.

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