Why the study?
Right heart thrombi worsen the prognosis of acute PE, and the optimal management strategy among existing options remains uncertain.
A conservative approach with anticoagulant therapy can lead to a favorable outcome in patients with acute pulmonary embolism and right heart thrombi.
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Case experience with PE and right heart thrombi supports urgent individualized care; leaves open optimal strategy.
Acute pulmonary embolism (PE) is a relatively common vascular disease with potentially life-threatening complications. Right heart thrombi deteriorate the prognosis. Due to the known high lethality, such a clinical situation requires immediate diagnosis and treatment. With the existing different management options for intracardiac blood clots, the optimal one is still uncertain. The article describes the experience of therapeutic and diagnostic tactics in a patient with PE and thrombosis of two right chambers of the heart with a favorable outcome while the conservative approach was used.
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Avdeeva et al. (2021) studied this question.
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