Right Heart Thrombus in Transit: Unusual Echocardiographic Finding in a patient with Acute Pulmonary Embolism.

Sonia I Vicenty-Rivera, Ricardo Perez-Feliciano, Carla P Rodriguez-Monserrate, Gabriela Montes-Rivera,, Oscar Nevarez-Pomales
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Abstract

Eighty year old male patient with heart failure preserved ejection fraction (EF), Obstructive sleep apnea, peripherovascular disease admitted with increasing shortness of breath and found with pulmonary emboli. Baseline 2D-echocardiogram performed demonstrated preserved ejection fraction and a right thrombus in transit. Anticoagulation with weight based-low molecular weight heparin was given for six days. Follow-up echo performed demonstrated complete dissolution of right heart thrombi. Since there was complete dissolution of thrombi seen on right atrium, anticoagulation with Rivaroxaban was given instead.

右心血栓转运:急性肺栓塞患者的异常超声心动图发现。
80岁男性心力衰竭患者,保留射血分数(EF),阻塞性睡眠呼吸暂停,周围血管疾病入院,呼吸日益急促,发现肺栓塞。基线二维超声心动图显示保留的射血分数和运输中的右血栓。以体重为基础的低分子量肝素抗凝治疗6天。随访回声显示右心血栓完全溶解。由于右心房血栓完全溶解,改用利伐沙班抗凝治疗。
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