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Case Reports
. 2021 Dec 26;9(12):e04710.
doi: 10.1002/ccr3.4710. eCollection 2021 Dec.

Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free-floating right heart thrombus successfully managed with anticoagulation

Hayatu Umar  1 , Usman Muawiyya Zagga  1 , Femi Akindotun Akintomide  1 , Abdulaziz Aminu  1 , Abubakar S Maiyaki  1 , Umar Zulkifilu  1 , Musa Tambuwal Umar  1 , Kabiru Mande Muhammad  1 , Adeshina Abdulateef Yusuf  1 , Adamu Jibril Bamaiyi  2
Affiliations
Case Reports

Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free-floating right heart thrombus successfully managed with anticoagulation

Hayatu Umar et al. Clin Case Rep. .

Abstract

A 57-year-old man, with type 2 diabetes mellitus, was admitted with a hyperosmolar hyperglycemic state, who developed in-hospital venous thromboembolism with huge free-floating right heart thrombus, and there is no available optimal treatment option for the huge free-floating right heart thrombus, except anticoagulation with warfarin and low molecular weight heparin with successful outcome.

Keywords: huge right heart thrombus; hyperosmolar hyperglycemic state; low molecular weight heparin; venous thromboembolism; warfarin.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Electrocardiogram showing sinus tachycardia, S1Q3T3 pattern, and slurring of initial negative QRS complex in V2, V3
FIGURE 2
FIGURE 2
Chest X‐ray showing cardiomegaly, prominent hilar/upper lobe vascular marking, and hazy costophrenic angles
FIGURE 3
FIGURE 3
Two‐dimensional (2D) echocardiogram showing huge thrombus in the right atrium, measuring 34.1 × 31.9 mm
See this image and copyright information in PMC

References

    1. Lemkes BA, Hermanides J, Devries JH, Holleman F, Meijers JCM, Hoekstra JBL. Hyperglycemia: a prothrombotic factor? J Thromb Haemost. 2010;8(8):1663‐1669. 10.1111/j.1538-7836.2010.03910.x - DOI - PubMed
    1. Pomero F, Di Minno MND, Fenoglio L, Gianni M, Ageno W, Dentali F. Is diabetes a hypercoagulable state? A critical appraisal. Acta Diabetol. 2015;52(6):1007‐1016. 10.1007/s00592-015-0746-8 - DOI - PubMed
    1. Grant PJ. Diabetes mellitus as a prothrombotic condition. J Intern Med. 2007;262(2):157‐172. John Wiley & Sons, Ltd. 10.1111/j.1365-2796.2007.01824.x - DOI - PubMed
    1. Carr ME. Diabetes mellitus: a hypercoagulable state. J Diabetes Complications. 2001;15(1):44‐54. 10.1016/S1056-8727(00)00132-X - DOI - PubMed
    1. Keenan CR, Murin S, White RH. High risk for venous thromboembolism in diabetics with hyperosmolar state: comparison with other acute medical illnesses. J Thromb Haemost. 2007;5(6):1185‐1190. 10.1111/j.1538-7836.2007.02553.x - DOI - PubMed

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