Floating right heart thrombi: A pooled analysis of cases reported over the past 10 years

Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department

“…The early recognition of RHTh and associated PE with FOCUS is vital to guide clinical management and achieve a favorable clinical outcome, especially given the in-hospital mortality rate for patients with a RHTh in transit has been described to be approaching 45% [ 1 , 2 , 8 - 11 ]. Previous studies of RHTh cases have suggested a mortality benefit from thrombolysis versus anticoagulation alone [ 11 ]. The management of intermediate-risk (submassive) PE with CDT has indicated promising short-term benefits as a therapeutic strategy [ 20 ].…”

“…However, this is rarely encountered in the ED, with the prevalence of RHTh reported to be as low as 4% among PE patients [8]. The coexistence of a RHTh with PE carries an increased mortality risk necessitating aggressive management [8][9][10][11]. Previous reports have described the crucial role of EP-performed FOCUS to establish the diagnosis of RHTh [12][13][14][15][16][17][18].…”

Elderly woman in cardiopulmonary arrest

“…A 95-year-old female from a nursing home with a history of rheumatoid arthritis presented with cardiopulmonary arrest (CPA) Extracorporeal circulation should be considered when the patient is hemodynamically unstable. [1][2]4…”

“…Mobile right heart thrombi (MRHT) are a rare complication of pulmonary thromboembolism (PTE); they occur in 3%–23% of cases 1 . MRHT can be a primary cause of death and has an overall mortality rate of 21.3%, much higher than PTE 2 .…”

Embolia pulmonar maciça e choque com trombo em trânsito no átrio direito – a imagem em movimento

“…No caso relatado, foi encontrado um trombo em trânsito no AD. Este achado ocorre em 7 a 18% dos casos de EP confirmado 3,4,5,6 . A paciente do caso ainda apresentou sintomas menos comuns da EP, como a síncope, sugerindo uma carga trombótica maior, e choque, raro, que indica EP central ou reserva hemodinâmica gravemente reduzida 7,8 .…”