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