Mobile right heart thrombus with pulmonary embolism in a patient with polycythemia rubra vera and splanchnic vein thrombosis

Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent...

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Bibliographic Details
Published in:Heart views 2010-01, Vol.11 (1), p.16-20
Main Authors: Panduranga, Prashanth, Mukhaini, Mohammed, Saleem, Muhammad, Al-Delamie, Taha, Zachariah, Sunny, Al-Taie, Saqar
Format: Article
Language:English
Subjects:
Blood clot
Case Report
Case studies
Catheters
Complications and side effects
CT imaging
Diagnosis
Health aspects
Heart failure
Kinases
Mortality
Mutation
Polycythemia
Polycythemia rubra vera
Pulmonary embolism
Right atrial thrombus
right heart thrombus
Risk factors
Splanchnic vein thrombosis
Studies
Thrombosis
Tomography
Veins & arteries
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Summary:Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent small bowel resection. He developed a large mobile right atrial thrombus and bilateral pulmonary embolism. He also had upper gastrointestinal bleed. His management was complicated and challenging due to multiple risk factors and co-morbid conditions. Thrombolysis was contraindicated and he refused surgical intervention. He was treated with anticoagulation with complete resolution of right atrial thrombus.
ISSN:1995-705X
0976-5123