Two-dimensional echocardiographic detection of right-sided cardiac intracavitary thromboembolus with pulmonary embolism

Five patients with pulmonary embolism, in whom rightsided intracardiac thromboembolus was detected by echocardiography and confirmed by either angiography, surgery or postmortem examination, are described. One of these patients died from massive pulmonary embolism after right heart catheterization....

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Bibliographic Details
Published inJournal of the American College of Cardiology Vol. 4; no. 6; pp. 1294 - 1301
Main Authors Saner, Hugo E., Asinger, Richard W., Daniel, James A., Joseph Elsperger, K.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.12.1984
Elsevier Science
Subjects
Adolescent
Adult
Aged
Biological and medical sciences
Cardiac Catheterization
Cardiology. Vascular system
Chronic cor pulmonale
Echocardiography - methods
Heart
Heart Atria
Heart Diseases - diagnosis
Heart Diseases - drug therapy
Heart Diseases - surgery
Heparin - therapeutic use
Humans
Male
Medical sciences
Pneumology
Pulmonary Embolism - diagnosis
Pulmonary Embolism - drug therapy
Pulmonary Embolism - surgery
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Streptokinase - therapeutic use
Thromboembolism - diagnosis
Thromboembolism - drug therapy
Thromboembolism - surgery
Warfarin - therapeutic use
Pulmonary embolism
Human
Echocardiography
Ultrasonic investigation
Right heart
Cardiovascular disease
Pulmonary vascular disease
Thrombosis
Resuscitation
Two dimensional technique
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Summary:Five patients with pulmonary embolism, in whom rightsided intracardiac thromboembolus was detected by echocardiography and confirmed by either angiography, surgery or postmortem examination, are described. One of these patients died from massive pulmonary embolism after right heart catheterization. In two patients treated medically, either partial or total lysis of the thromboembolus was demonstrated echocardiographically; in another two patients, the right atrial thromboembolus was successfully removed surgically. Typical locations and echocardiographic characteristics of right-sided throm-boemboli are described. The potential usefulness of two-dimensional echocardiography in both the diagnosis and the management of patients with right-sided intracardiac thromboembolism is discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(84)80152-7