To Lyse or Not: The Role of Half-Dose Thrombolysis in Right Ventricular Clot Associated With Sub-Massive Pulmonary Embolism

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-04-22 DOI:10.1002/ccr3.70404

Nasreldin A. Hamza, Wasfy J. Hamad, Shamim K. Vakkulathil, Vimalraj Sundaram, Haidar M. Hadi, Abdulqadir J. Nashwan

引用次数: 0

Abstract

Right heart thrombi are rare but carry a high mortality risk. Appropriate therapy remains unclear; options include anticoagulation, thrombolysis, and surgical thrombectomy. In this case, a 43-year-old male with DVT, RV thrombus, and bilateral pulmonary embolism responded well to half-dose thrombolytic therapy, with complete thrombus resolution and no complications.

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溶不溶：半剂量溶栓治疗伴亚块状肺栓塞的右心室血栓的作用

右心血栓是罕见的，但有很高的死亡风险。适当的治疗方法尚不清楚；选择包括抗凝、溶栓和手术取栓。在这个病例中，43岁男性深静脉血栓、右心室血栓和双侧肺栓塞对半剂量溶栓治疗反应良好，血栓完全溶解，无并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).