PRAGUE MEDICAL REPORT
PRAGUE MEDICAL REPORT
Prague Medical Report is an English quarterly published multidisciplinary biomedical journal. Prague Medical Report was founded as Sborník lékařský in May 1885. The journal presents public primary scientific publications, short communications, casuistry, and reviews. It contains articles based on important specialised lectures and symposia.

PRAGUE MEDICAL REPORT, Vol 121 No 1 (2020), 42–48

Acute Massive Pulmonary Embolism with Direct Visualization of a Free-floating Right Heart Thrombus Successfully Treated with Fibrinolysis: A Case Report

Elisavet Kaitalidou, Dimitrios Karapiperis, Vasileios Makrakis, Maria Kipourou, Dimitrios Petroglou

DOI: https://doi.org/10.14712/23362936.2020.4
announced: 19. 03. 2020

abstract

A male patient with a history of immobilization due to motor weakness, was transferred to our emergency department after syncope during physiotherapy, with recorded hypotension. Transthoracic echocardiography showed severe dilatation of the right ventricle (RV), with apex hypercontractility and almost akinetic RV free wall. The above findings, in addition to the unexpected visualization of a large, free-floating, right atrial thrombus, a rare finding associated with high mortality, readily confirmed the clinical suspicion of acute pulmonary embolism (PE) causing circulatory collapse. Intravenous fibrinolysis and vasopressor therapy were successfully administered, and hemodynamic instability was soon alleviated.

keywords: Pulmonary embolism; Right heart thrombus; Fibrinolysis; Bedside echocardiography

Creative Commons License
Acute Massive Pulmonary Embolism with Direct Visualization of a Free-floating Right Heart Thrombus Successfully Treated with Fibrinolysis: A Case Report is licensed under a Creative Commons Attribution 4.0 International License.

167 x 240 mm
published: 4 x per year
print price: 450 czk
ISSN: 1214-6994
E-ISSN: 2336-2936

Download