PMID: 16538021Mar 16, 2006Paper

Surgical treatment of free-floating thrombi in the right side of the heart in patients with pulmonary thromboembolism

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
Shigeo YamauchiKazuo Shimizu

Abstract

Floating right heart thrombi (FRHTs) are rare in patients with acute pulmonary thromboembolism (PTE). FRHTs are an extreme therapeutic emergency, and any delay in treatment could be lethal. Heparin, thrombolysis, and catheter therapy are used most frequently to treat acute PTE. Here we present three cases involving operative treatment of FRHTs associated with PTE. Diagnose were made with echocardiography before proceeding to emergency surgery. Thromboembolectomy was performed on cardiopulmonary bypass. One patient became brain dead 10 days postoperatively owing to cardiopulmonary arrest before surgery. The two survivors were subsequently discharged home after uneventful recoveries.

References

May 1, 1985·British Heart Journal·G BergmanD E Jewitt
Oct 21, 2000·Acta Cardiologica·A BaltalarliI Gökşin
Mar 22, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·T FukuiK Fumimoto

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Citations

Jan 23, 2013·Acta Anaesthesiologica Scandinavica·R ŠkulecV Černý
Jul 11, 2016·International Journal of Surgery Case Reports·Simon De Freitas, Caoilfhionn Connolly
Apr 25, 2021·The American Journal of the Medical Sciences·Iyad FaroujiKok Hoe Chan

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