[Intracardiac floating thrombi in patients with acute pulmonary thromboembolism].

Abstract:

:The mortality and morbidity associated with residual intracardiac floating thrombi in patients with acute pulmonary thromboembolism remain uncertain. Thirteen patients (2 men and 11 women, mean age 56 +/- 15 years) with pulmonary thromboembolism underwent echocardiography within 24 hours from onset of symptoms. Four patients (31%) had floating intracardiac thrombi in the right heart: 3 in the right atrium and one in the inferior vena cava. The time to evaluation by echocardiography was shorter than in the patients without thrombi. The thrombi disappeared shortly (3.2 +/- 2.4 hr) after thrombolysis without adverse effects in these patients. After thrombolysis, clinical symptoms improved and pressure gradient between the right ventricle and right atrium decreased significantly (p < 0.01) from baseline 47 +/- 6 to 26 +/- 5 mmHg. Major bleeding complications occurred in 3 (43%) of the patients who underwent thrombolysis. Right-side intracardiac floating thrombus was easily detectable by early echocardiography. Thrombolytic agents are likely to be effective in patients with intracardiac floating thrombi.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Ikeda R,Yuda S,Nakahara N,Kobayashi N,Uno K,Nakata T,Tsuchihashi K,Shimamoto K

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

433-8

issue

6

eissn

0914-5087

issn

1876-4738

journal_volume

35

pub_type

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