Key result
Early fibrinolysis is linked to favorable survival in type A right heart thrombi, despite ~29% overall mortality.
Why the study?
Right heart thrombus in pulmonary embolism carries poor prognosis with variable morphology and outcomes, but detailed clinical characterization is limited.
Observational (n=7)
No
In a small case series of patients with right heart thrombi and pulmonary embolism, early fibrinolysis for highly mobile (Type A) thrombi was associated with favorable outcomes.
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Early fibrinolysis may be considered for type A right heart thrombi in PE; hypothesis-generating from small case series.
Kajamohideen et al. (2017) conducted an observational in Right heart thrombus in pulmonary embolism (n=7). Right heart thrombus in pulmonary embolism was evaluated on Mortality. Among patients with right heart thrombi in pulmonary embolism, overall mortality was 29%, and early fibrinolysis in type A thrombus had a favourable outcome.
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