[Fibrinolytic treatment of thrombus of the right atrium causing severe pulmonary embolism]
- PMID: 9522614
[Fibrinolytic treatment of thrombus of the right atrium causing severe pulmonary embolism]
Abstract
A case of acute pulmonary embolism and right atrial thrombus "in transit" treated with recombinant tissue plasmin activator is described. An early echocardiographic study in acute pulmonary embolism can detect right atrial thrombus in 15% of the time. It is well known that this finding is associated with poor prognosis, but the best treatment is controversial. The present case, in accordance with other previous reports, suggests the use of systemic fibrinolytic therapy in patients with right atrial thrombus and pulmonary embolism in course.
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