Key result
Thrombolytic therapy in a patient with massive acute pulmonary embolism and right atrial mobile thrombus led to thrombus fragmentation and transient worsening, followed by gradual clinical improvement.
Case Report (n=1)
Serial echocardiography is valuable for monitoring right heart masses and treatment effectiveness during thrombolysis for massive pulmonary embolism.
May warrant serial echocardiography monitoring during thrombolysis for massive PE with right atrial thrombus; case report leaves open optimal strategies.
The case report presents a patient with acute, massive pulmonary embolism diagnosed by transthoracic echocardiography, with the mobile thrombus visualized in the right atrium. During the thrombolytic therapy the thrombus was fragmented and migrated to the pulmonary artery, with a rapid transient worsening of the clinical status of the patient. The continuation of thrombolysis led to the gradual improvement of the patient condition. In this case report the importance of serial echocardiographic examinations in revealing right heart masses, the right ventricle overloading and the effectiveness of treatment is shown.
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Lichodziejewska et al. (2005) conducted a case report in Massive acute pulmonary embolism and right atrial mobile thrombus (n=1). Thrombolytic therapy was evaluated on Clinical status and echocardiographic findings. Thrombolytic therapy in a patient with massive acute pulmonary embolism and right atrial mobile thrombus led to thrombus fragmentation and transient worsening, followed by gradual clinical improvement.
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