Abstract
Right heart thrombi are rare and associated with significantly increased
mortality, with rates reported to be 27% to 45% despite treatment and
rates near 100% in untreated patients. Right ventricular (RV) thrombus
can be treated with anticoagulation, thrombolysis, and/or surgical
thrombectomy. Though there are different options, no concrete
recommendations or studies exist for the ideal treatment option. In our
case, a 43-year-old male presented with shortness of breath. His
echocardiography revealed an RV thrombus, and the Computed Tomography
chest showed a bilateral pulmonary embolism. Furthermore, a lower limb
Doppler study revealed bilateral deep vein thrombosis. The patient was
treated with half-dose thrombolytic therapy with a good response.
Follow-up echocardiography revealed complete resolution of the RV
thrombus and considerable improvement in the right heart function. No
bleeding events were recorded.
Keywords : Pulmonary embolism; Thrombolytic therapy; Right heart
thrombi; Right ventricular thrombus; Deep vein thrombosis