Treatment of right heart thromboemboli: The need of a randomized multicentre trial

Abstract Currently, there are not solid evidence-based recommendations on the treatment of in-transit right heart thromboemboli. We present a case of acute pulmonary embolism with right ventricular entrapped thrombus detected by echocardiography. Surgical thrombectomy was successfully carried out. T...

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Bibliographic Details
Published in:International journal of cardiology 2009-05, Vol.134 (3), p.419-420
Main Authors: Saura, Daniel, García-Puente, Julio, Oliva, María J, Cerdán, María C, Gutiérrez, Francisco, de la Morena, Gonzalo, Valdés, Mariano
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Cardiovascular system
Echocardiography
Heart Diseases - diagnosis
Heart Diseases - therapy
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Multicenter Studies as Topic - trends
Pneumology
Pulmonary embolism
Pulmonary Embolism - diagnosis
Pulmonary Embolism - therapy
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Randomized Controlled Trials as Topic - trends
Right heart thromboemboli
Surgery
Thrombectomy
Thromboembolism - diagnosis
Thromboembolism - therapy
Thrombolysis
Treatment Outcome
Ultrasonic investigative techniques
Ventricular Dysfunction, Right - diagnosis
Ventricular Dysfunction, Right - therapy
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Summary:Abstract Currently, there are not solid evidence-based recommendations on the treatment of in-transit right heart thromboemboli. We present a case of acute pulmonary embolism with right ventricular entrapped thrombus detected by echocardiography. Surgical thrombectomy was successfully carried out. Treatment options are discussed and the need of a randomized trial is stressed.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.12.108