Conclusion and Results (Outcome and Follow-up)
On the third day, a repeat echocardiogram showed the disappearance of the RV mobile thrombus, with mildly reduced RV function, moderate dilatation of the RV chamber, and an RVSP of approximately 45 mm Hg. By the fourth day, Pro BNP had decreased to 274, and D-dimer levels decreased to 4.13, though cardiac markers (troponin) remained elevated. The patient was discharged on the sixth day with a prescription for rivaroxaban 15 mg BID.