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Management of right heart thrombi associated with acute pulmonary embolism: a retrospective, single-center experience/Akut pulmoner emboliye eslik eden sag kalp trombüslerine yaklasim: Retrospektif ve tek merkez deneyimi

The mortality of right heart thrombi (RHT) associated with pulmonary embolism (PE) is increased about three to four times. The most devastating scenario is fragmentation of RHT and occurrence of recurrent PE. The reports regarding the management of RHT complicated with PE are very scarce in the curr...

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Bibliographic Details
Published in:Anatolian journal of cardiology 2013-09, Vol.13 (6), p.528
Main Authors: Akilli, Hakan, Gül, Enes Elvin, Aribas, Alpay, Özdemir, Kurtulus, Kayrak, Mehmet, Erdogan, Halil Ibrahim
Format: Article
Language:English
Online Access:Get full text
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Summary:The mortality of right heart thrombi (RHT) associated with pulmonary embolism (PE) is increased about three to four times. The most devastating scenario is fragmentation of RHT and occurrence of recurrent PE. The reports regarding the management of RHT complicated with PE are very scarce in the current literature. Therefore, we report a single-center experience in this paper. From January 2006 to December 2011, data of all patients diagnosed with acute PE were analyzed retrospectively. Of the 312 acute PE cases confirmed with computed tomography, total 35 patients who were diagnosed with concomitant RHT (prevalence of 11%) by echocardiography were recruited. After excluding of six patients with metastatic malignancy a total 29 patients were accepted eligible for the analysis. In addition, catheter -induced thrombus (type B) were not included to the study. The difference between categorical variables was analyzed with Chi-square test and continuous variables were analyzed with Mann-Whitney U test. A p value of
ISSN:2149-2263
2149-2271