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European Journal of Echocardiography 2007 8(3):229-231; doi:10.1016/j.euje.2006.03.001
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Copyright © 2006, The European Society of Cardiology

Mobile right heart thrombus and massive pulmonary embolism

Evelyn A. de Vreya,*, Jeroen J. Baxa, Don Poldermansb, Ernst E. van der Walla and Eduard R. Holmana

aLeiden University Medical Center, The Netherlands
bThoraxCenter Rotterdam, The Netherlands

Received 21 December 2005; received in revised form 28 February 2006; accepted after revision 2 March 2006.

* Corresponding author. Leiden University Medical Center, Cardiology, PO Box 9600, 2300 RC Leiden, The Netherlands. Tel.: +31 71 5283944. e.a.de_vrey{at}lumc.nl


  Abstract

The current report describes a patient with pulmonary embolism, treated unsuccessfully with heparin. Transthoracic echocardiography revealed free-floating right heart thrombus. Migrating deep vein thrombus to the right heart was suspected. Transesophageal echocardiography confirmed origin of the thrombus in the inferior cava vein. Mortality rate of mobile right heart thrombus is over 40%, therefore urgent surgical embolectomy was performed with relief of symptoms.

Keywords: Right heart thrombus; Intracardiac mass; Echocardiography; Pulmonary embolism


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