Key result
Thrombolytic therapy successfully resolved a pinball-like free-floating right heart thrombus and pulmonary embolism in a 67-year-old woman, though she suffered irreversible hypoxic brain damage.
Why the study?
Free-floating right heart thrombus is a rare and life-threatening condition associated with pulmonary embolism, for which established management guidelines are lacking.
Case Report (n=1)
Free-floating right heart thrombus should be suspected in high-risk patients presenting with unexplained hypoxemia, requiring prompt intervention to prevent fatal complications.
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Thrombolysis resolved the thrombus yet caused irreversible brain damage; case report leaves open optimal management of free-floating right heart thrombi.
Kim et al. (2023) conducted a case report in Free-floating right heart thrombus and pulmonary embolism (n=1). Thrombolytic therapy (alteplase) and anticoagulation was evaluated on Resolution of thrombus and clinical recovery. Thrombolytic therapy successfully resolved a pinball-like free-floating right heart thrombus and pulmonary embolism in a 67-year-old woman, though she suffered irreversible hypoxic brain damage.
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