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The Ultrasound Journal
Published in: The Ultrasound Journal 1/2015

Open Access 01-12-2015 | Case report

The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock

Authors: Mansour Jammal, Peter Milano, Renzo Cardenas, Thomas Mailhot, Diku Mandavia, Phillips Perera

Published in: The Ultrasound Journal | Issue 1/2015

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Abstract

Right heart thrombus (RHT) is a life-threatening diagnosis that is rarely made in the emergency department (ED), but with the increasing use of focused cardiac ultrasound (FocUS), more of these cases may be identified in a timely fashion. We present a case of an ill-appearing patient who had an immediate change in management due to the visualization of RHT soon after arrival to the ED. The diagnosis was confirmed after a cardiology-performed ultrasound (US). This case illustrates the value of the recognition of RHT on FocUS and how US protocols designed for the evaluation of shock and shortness of breath may potentially be expanded to patients in a ‘compensated’ or ‘pre-shock’ state to expedite the correct diagnosis and to facilitate more timely management.
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Metadata
Title
The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock
Authors
Mansour Jammal
Peter Milano
Renzo Cardenas
Thomas Mailhot
Diku Mandavia
Phillips Perera
Publication date
01-12-2015
Publisher
Springer Milan
Published in
The Ultrasound Journal / Issue 1/2015
Electronic ISSN: 2524-8987
DOI
https://doi.org/10.1186/s13089-015-0023-7

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