Key result
A multidisciplinary pulmonary embolus response team successfully guided emergency thrombectomy and PFO repair in a 52-year-old man with sub-massive PEs and a bi-atrial thrombus, leading to discharge.
Case Report (n=1)
A dedicated pulmonary embolus response team (PERT) can provide rapid, individualized management decisions for complex patients with sub-massive PE and bi-atrial thrombus.
A 52-year-old man presented with palpitations and dyspnea. Extensive bilateral pulmonary emboli (PEs) were identified on computed tomography pulmonary angiogram. Transthoracic echocardiography demonstrated a mobile bi-atrial thrombus straddling the interatrial septum. Consensus decision of a multidisciplinary pulmonary embolus response team was made for emergency thrombectomy of the pulmonary and intra-cardiac clot. Intraoperatively, a patent foramen ovale was identified and repaired. He had an excellent outcome and was discharged home on oral anticoagulation. In this unique case of a bi-atrial thrombus and sub-massive PEs, we demonstrate the utility of dedicated pulmonary embolus response teams in providing rapid and individualized management decisions for complex PE patients.
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Selvakumar et al. (2020) conducted a case report in Pulmonary embolus and bi-atrial thrombus (n=1). Multidisciplinary pulmonary embolus response team (PERT) guided emergency thrombectomy and PFO repair was evaluated on Clinical outcome. A multidisciplinary pulmonary embolus response team successfully guided emergency thrombectomy and PFO repair in a 52-year-old man with sub-massive PEs and a bi-atrial thrombus, leading to discharge.
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