Key result
Thrombolysis and surgical embolectomy show better survival than anticoagulation alone for right heart thrombi.
Why the study?
Right heart thrombi are rare and carry high mortality, and further research is needed to guide therapy as present management strategies are supported only by observational studies.
What are the diagnostic modalities and optimal treatment strategies for right heart thrombi?
What are the diagnostic modalities and optimal treatment strategies for right heart thrombi?
Thrombolysis and surgical embolectomy appear to offer better survival outcomes than anticoagulation alone for right heart thrombi, though evidence remains limited to observational data.
Right heart thrombi carry high mortality; this case extends sparse observational reports but leaves optimal therapy open.
Right heart thrombi are a rare phenomenon associated with high mortality rates and embolization to the pulmonary bed. Diagnostic modalities include transthoracic echocardiography, contrast-enhanced echocardiography, and cardiac magnetic resonance imaging. Several treatment options for right ventricular thrombus have been described in case reports and observational studies including anticoagulation, thrombolysis, catheter-based procedures, and surgical embolectomy. Various studies have demonstrated that thrombolysis and surgical embolectomy have better survival outcomes than anticoagulation alone. Present management strategies are supported by observational studies, and further research is needed to guide therapy.
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Feldman et al. (2023) conducted a review in Right heart thrombi. Thrombolysis and surgical embolectomy vs. Anticoagulation alone was evaluated on Survival outcomes. Thrombolysis and surgical embolectomy have better survival outcomes than anticoagulation alone for the management of right heart thrombi.
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