Beyond anticoagulation: a surgical rescue guided by multimodal imaging for mobile right heart thrombi in an adolescent.

IF 0.8 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology in the Young Pub Date : 2026-09-30 DOI:10.1017/S1047951126124251

Yanfang Wu, Jingjing Zhang

引用次数: 0

Abstract

Right heart thrombus is rare and high-risk in paediatrics. A 14-year-old boy presented with dizziness and leg numbness. Imaging revealed mobile right ventricular thrombi and massive pulmonary embolism. Despite therapeutic anticoagulation, respiratory failure ensued. Emergency surgical thrombectomy and pulmonary endarterectomy were lifesaving. This case highlights that for high-risk right heart thrombi, multimodal imaging is key, and timely surgery is critical.

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在抗凝之外：在多模态成像指导下对青少年右心移动血栓的外科抢救。

右心血栓在儿科是罕见和高风险的。一名14岁男孩表现为头晕和腿部麻木。影像显示右室血栓及大量肺栓塞。尽管治疗抗凝，呼吸衰竭随之而来。急诊手术取栓和肺动脉内膜切除术挽救了生命。本病例强调，对于高危右心血栓，多模态成像是关键，及时手术至关重要。

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

Cardiology in the Young 医学-小儿科

CiteScore

1.70

自引率

10.00%

发文量

715

审稿时长

4-8 weeks

期刊介绍： Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.