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Cardiovascular Intervention and Therapeutics

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01-04-2013 | Case Report

Percutaneous treatment of a free-floating thrombus in the right atrium of a patient with pulmonary embolism and acute myocarditis

Authors: Tomoyasu Momose, Takehiro Morita, Takuo Misawa

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2013

Abstract

Free-floating thrombi in the right atrium (RA) are extremely hazardous to patients with pulmonary thromboembolism, and optimal treatment methods remain unclear. We report a case of successful percutaneous intervention of a critical right atrial thrombus. The patient was a 50-year-old woman who had been under medication for acute myocarditis when she complained of sudden severe dyspnea. Echocardiography showed a mobile snake-like thrombus in the RA. The thrombus was pulled back to the distal inferior vena cava (IVC) using a catheter and an IVC filter was placed. Percutaneous treatment is useful for treating free-floating RA thrombi.

Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;123:1788–830.PubMedCrossRef

Casazza F, Bongarzoni A, Centzone F, Morpurgo M. Prevalence and prognostic significance of right-sided cardiac mobile thrombi in acute massive pulmonary embolism. Am J Cardiol. 1997;79:1433–5.PubMedCrossRef

Chartier L, Béra J, Delomez M, Asseman P, Bereg JP, Bauchart JJ, et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999;99:2779–83.PubMedCrossRef

Theologou T, Tewari R, Pointon K, Mitchell IM. Pulmonary thromboembolism with floating thrombus trapped in patent foramen ovale. Ann Thorac Surg. 2007;84:2104–6.PubMedCrossRef

Kessel-Schaefer A, Lefkovits M, Zellweger MJ, Brett W, Rüter F, Pfisterer ME, et al. Migrating thrombus trapped in a patent foramen ovale. Circulation. 2001;103:1928.PubMedCrossRef

Rose PS, Punjabi NM, Pearse DB. Treatment of right heart thromboemboli. Chest. 2002;121:806–14.PubMedCrossRef

Beregi JP, Aumégeat V, Loubeyre C, Coullet JM, Asseman P, Debacker-Steckelorom C, et al. Right atrial thrombi: percutaneous mechanical thrombectomy. Cardiovasc Intervent Radiol. 1997;20:142–5.PubMedCrossRef

Davies RP, Harding J, Hassam R. Percutaneous retrieval of a right atrioventricular embolus. Cardiovasc Intervent Radiol. 1998;21:433–5.PubMedCrossRef

Mukharji J, Peterson JE. Percutaneous removal of a large mobile right atrial thrombus using a basket retrieval device. Catheter Cardiovasc Interv. 2000;51:479–82.PubMedCrossRef

10.

Park C, Roffi M, Noble S, Parsai C, Fassa AA, Merlani P, et al. High-risk pulmonary embolism with impending paradoxical embolism successfully treated with percutaneous catheter-based thrombectomy. Cardiovasc Med. 2011;14:127–130. http://www.cardiovascular-medicine.ch/pdf/2011/2011-04/2011-04-009.PDF. Accessed 26 Dec 2011.

11.

Watanabe S, Shimokawa S, Shibuya H, Iguro Y, Moriyama Y, Taira A. Superior vena caval placement of a temporary filter: a case report. Vasc Surg. 2001;35:59–62.PubMedCrossRef

Title: Percutaneous treatment of a free-floating thrombus in the right atrium of a patient with pulmonary embolism and acute myocarditis
Authors: Tomoyasu Momose
Takehiro Morita
Takuo Misawa
Publication date: 01-04-2013
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2013
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-012-0141-0

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Percutaneous treatment of a free-floating thrombus in the right atrium of a patient with pulmonary embolism and acute myocarditis

Abstract

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