Volume 3, Issue 2, March 2015, Page: 11-15
Right Heart Thrombus in-Transit in Patient with Acute Pulmonary Embolism Treated by Thrombolytic Therapy with Tenectplase
Warkaa Al Shamkhani, Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
Nagham Saeed Jafar, Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
Sunil Roy Narayanan, Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
Krishna Ramanagaram Gowda, Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
Anil Kumar Rajappan, Department of Cardiology, Belhoul Speciality Hospital, Dubai, UAE
Received: Jan. 30, 2015;       Accepted: Feb. 13, 2015;       Published: Mar. 2, 2015
DOI: 10.11648/j.ijmi.20150302.11      View  2306      Downloads  154
Abstract
A thrombus in transit is an uncommon life threatening condition with high morbidity and mortality. Thrombectomy, thrombolytic therapy and anticoagulation are the treatment options in patients with acute pulmonary embolism and thrombus in transit. A 30-year old male presented with acute submassive pulmonary embolism. Echocardiography showed features of acute pulmonary embolism with right ventricular dysfunction and large fresh mobile thrombus in the right ventricular cavity. He was treated by thrombolytic therapy with Tenecteplase. He made an uneventful recovery with normalisation of the ECG, CXR and Echocardiography on subsequent follow up. This case demonstrates the efficacy of thrombolytic therapy in patients with right ventricular thrombus in transit.
Keywords
Thrombus in Transit, Thrombolytic Therapy, Pulmonary Embolism
To cite this article
Warkaa Al Shamkhani, Nagham Saeed Jafar, Sunil Roy Narayanan, Krishna Ramanagaram Gowda, Anil Kumar Rajappan, Right Heart Thrombus in-Transit in Patient with Acute Pulmonary Embolism Treated by Thrombolytic Therapy with Tenectplase, International Journal of Medical Imaging. Vol. 3, No. 2, 2015, pp. 11-15. doi: 10.11648/j.ijmi.20150302.11
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