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Revista Mexicana de Cardiología

ISSN 0188-2198 (Print)
En 2019, la Revista Mexicana de Cardiología cambió a Cardiovascular and Metabolic Science

Ver Cardiovascular and Metabolic Science


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2015, Number S3

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Rev Mex Cardiol 2015; 26 (S3)

Thrombi in transit in right heart chambers to be solved by thrombolysis. A case report

Contreras ZM, Jiménez MF, Robles ADA, Gómez GA
Full text How to cite this article

Language: Spanish
References: 7
Page: 138-140
PDF size: 312.44 Kb.


Key words:

Thrombolysis, right atrial thrombosis, pulmonary embolism, echocardiography.

ABSTRACT

Thrombi are formed primarily in the left atrium, especially in dilated stenosis or atria, but is uncommon to find the presence of thrombus in the right atrium; thrombi in said cavity come more often from the peripheral venous circulation, but to a lesser extent, are originated in situ. Thrombogenic diseases may also be related to the thrombus. In Latin America, the incidence of deep vein thrombosis is one case per 1,000 people per year and pulmonary embolism incidence is 0.5 cases per 1,000 people per year. In this case report, a male patient aged 61 diagnosed with serpentine thrombus in the right atrium and rapid atrial fibrillation which was solved successfully with streptokinase is presented.


REFERENCES

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  2. Uresandi F, Blanquer J, Conget F, de Gregorio MA, Lobo JL, Otero R y cols. Guía para el diagnóstico, tratamiento y seguimiento de la tromboembolia pulmonar. Arch Bronconeumol. 2004; 40: 580-594.

  3. Rose PS, Punjabi NM, Pears DB. Treatment of right heart thromboemboli. Chest. 2002; 121 (3): 806-814.

  4. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest. 2002; 121 (3): 877-905.

  5. Torbicki A, Galie N, Covezzoli A, Rossi E, De Rosa M, Goldhaber SZ et al. Right heart thrombi in pulmonary embolism: results from the International Cooperative Pulmonary Embolism Registry. J Am CollCardiol. 2003; 41 (12): 2245-2251.

  6. Chartier L, Béra J, Delomez M, Asseman P, Beregi JP, Bauchart JJ et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999; 99 (21): 2779-2783.

  7. Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galié N, Pruszczyk P y Grupo de Trabajo pata el Diagnóstico y Manejo del Tromboembolismo Pulmonar Agudo de la Sociedad Europea de Cardiología (ESC). Guías de práctica clínica de la Sociedad Europea de Cardiología. Guías de práctica clínica sobre diagnóstico y manejo del tromboembolismo pulmonar agudo. Rev Esp Cardiol. 2008; 61 (12): 1330.e1-1330.




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C?MO CITAR (Vancouver)

Rev Mex Cardiol. 2015;26