Treatment of mobile right heart thrombi with low-molecular-weight heparin

Treatment of mobile right heart thrombi with low-molecular-weight heparin

Treatment of choice in patients with mobile thrombi in the right heart chambers is still controversial owing to the increased risk of recurrent pulmonary embolism (PE). Thrombolysis and surgical or catheter embolectomy are the preferred options. We present a case of an elderly patient with PE and fr...

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Veröffentlicht in:BMJ case reports 2013-03, Vol.2013, p.bcr2012008272
Hauptverfasser: Lampropoulos, Konstantinos M, Bonou, Maria, Theocharis, Constantinos, Barbetseas, John
Format: Artikel
Sprache:eng
Schlagworte:
80 Years
Aged, 80 and over
Bioavailability
Blood clots
Cardiac arrhythmia
Cardiovascular disease
Case reports
Catheters
Embolization
Europe (West)
Fibrinolytic Agents - therapeutic use
Heart Diseases - drug therapy
Heart rate
Heparin, Low-Molecular-Weight - therapeutic use
Humans
Images In
Laboratories
Male
Medical imaging
Mortality
Patients
Pulmonary arteries
Pulmonary embolisms
Thrombosis
Thrombosis - drug therapy
Ultrasonic imaging
Veins & arteries
White
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Zusammenfassung:Treatment of choice in patients with mobile thrombi in the right heart chambers is still controversial owing to the increased risk of recurrent pulmonary embolism (PE). Thrombolysis and surgical or catheter embolectomy are the preferred options. We present a case of an elderly patient with PE and free-floating atrial thrombi who was treated successfully with low-molecular-weight heparin (LMWH).
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2012-008272