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CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 2  |  Page : 146-149

Free-Floating right heart thrombus with acute massive pulmonary embolism: A case report and review of the literature


1 Lebanese University, Faculty of Medical Sciences, Hadath; Division of Pulmonary Medicine, Beirut Cardiac Institute, Beirut, Lebanon
2 Lebanese University, Faculty of Medical Sciences, Hadath; Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon
3 Division of Cardiovascular Medicine, Beirut Cardiac Institute, Beirut, Lebanon
4 Department of Anesthesiology, Beirut Cardiac Institute, Beirut, Lebanon
5 Division of Cardiovascular and Thoracic Surgery, Beirut Cardiac Institute, Beirut, Lebanon

Correspondence Address:
Mohamad Jihad Mansour
Division of Cardiology, Lebanese University, Faculty of Medical Sciences, Hadath, Division of Cardiovascular Medicine, Clemenceau Medical Center, P.O. Box: 11-2555, Beirut
Lebanon
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_64_17

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Free-floating right heart thrombus (RHT) is an extreme medical emergency in the context of acute massive pulmonary embolism (PE). Despite the advances in early diagnosis, the management is still very debatable due to lack of consensus. We reported the case of a 66-year-old male, with a history of moderate renal dysfunction and dilated cardiomyopathy, who presented to the emergency department for acute dyspnea. His angiographic magnetic resonance imaging revealed bilateral extensive PE. Transthoracic echocardiography showed RHT with moderate right ventricular dysfunction and pulmonary hypertension. Venous Doppler of the lower extremities noted the presence of a floating clot in the right common femoral vein. The patient was managed successfully by thrombolytic therapy with tenecteplase. To the best of our knowledge, this is the first case report of RHT and PE from Lebanon. Published cases from Middle Eastern countries are scarse.


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