Key Clinical Message:
Right heart thrombi are rare but carry high mortality risks, with
untreated cases nearing 100%. Treatment options include
anticoagulation, thrombolysis, and surgical thrombectomy, though no
definitive guidelines exist. In this case, a 43-year-old male with an RV
thrombus and bilateral pulmonary embolism responded well to half-dose
thrombolytic therapy, with complete thrombus resolution and no bleeding
events.