Treatment of right heart thromboemboli: The need of a randomized multicentre trial

• Published in: International journal of cardiology Vol. 134; no. 3; pp. 419 - 420
• Main Authors: Saura, Daniel, García-Puente, Julio, Oliva, María J, Cerdán, María C, Gutiérrez, Francisco, de la Morena, Gonzalo, Valdés, Mariano
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 29.05.2009; Elsevier
• Subjects: Adult; Biological and medical sciences; Cardiology. Vascular system; Cardiovascular; Cardiovascular system; Echocardiography; Heart Diseases - diagnosis; Heart Diseases - therapy; Humans; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Multicenter Studies as Topic - trends; Pneumology; Pulmonary embolism; Pulmonary Embolism - diagnosis; Pulmonary Embolism - therapy; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases; Randomized Controlled Trials as Topic - trends; Right heart thromboemboli; Surgery; Thrombectomy; Thromboembolism - diagnosis; Thromboembolism - therapy; Thrombolysis; Treatment Outcome; Ultrasonic investigative techniques; Ventricular Dysfunction, Right - diagnosis; Ventricular Dysfunction, Right - therapy; Pulmonary embolism; Thrombectomy; Right heart thromboemboli; Echocardiography; Thrombolysis; Surgery; Sonography; Respiratory disease; Cardiovascular disease; Fibrinolysis; Vascular disease; Need; Randomization; Treatment; Right heart; Cardiology
• ISSN: 0167-5273; 1874-1754
• DOI: 10.1016/j.ijcard.2007.12.108

Abstract Currently, there are not solid evidence-based recommendations on the treatment of in-transit right heart thromboemboli. We present a case of acute pulmonary embolism with right ventricular entrapped thrombus detected by echocardiography. Surgical thrombectomy was successfully carried out. Treatment options are discussed and the need of a randomized trial is stressed.