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[Right atrial thrombosis and severe pulmonary embolism].

Authors
  • Gras, D
  • Bédossa, M
  • Le Helloco, A
  • Schleich, J M
  • Leguerrier, A
  • Laurent, M
  • Pasquali, V
  • Almange, C
  • Leborgne, P
Type
Published Article
Journal
Archives des maladies du coeur et des vaisseaux
Publication Date
Feb 01, 1992
Volume
85
Issue
2
Pages
253–256
Identifiers
PMID: 1562231
Source
Medline
License
Unknown

Abstract

Two cases of severe pulmonary embolism associated with right atrial thrombosis are reported. In the first case, fibrinolytic therapy was administered and was thought to be a causative factor in the death of the patient due to massive pulmonary embolism. In the second case, the patient was referred for surgery and two enormous thrombi were extracted. Unfortunately, the outcome was fatal. These two cases were confronted with the results of the literature. They strongly suggest that echocardiography should be a first-line investigation in severe pulmonary embolism. The detection of right atrial thrombosis modifies the clinical strategy and orientates treatment towards surgical referral when the patient's condition allows it.

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