Right ventricular thrombus in case of atrial septal defect with massive pulmonary embolism: A diagnostic dilemma

Kumar, US Dinesh; Nareppa, Umesh; Shetty, Shyam Prasad; Wali, Murugesh

doi:10.4103/0971-9784.173043

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…Risk factors associated with right ventricular thrombus include previous bleeding events, younger age, cancer, congestive heart failure, transient systolic blood pressure <100 mmHg, episodes of syncope, and arterial oxyhaemoglobin saturation <90% 4 . Hypercoagulable states, such as Factor 5 Leiden and antithrombin 3 mutations, have been associated with RV thrombus 5 . However, hypercoagulable workup was negative in our patient.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic and therapeutic challenge: A case of right ventricular thrombus

Bedi,

Sabri,

Sevella

et al. 2024

gcsp

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Right ventricular thrombus is a rare finding found in 4% of people diagnosed with pulmonary embolism. Although right ventricular thrombi are usually associated with atrial fibrillation, deep venous vein thrombi, or intracardiac procedures, isolated right ventricular thrombi are rare. Right ventricular thrombus has also been reported in patients with right ventricular infarction, as hypokinesis of the right ventricle causes blood stasis and promotes thrombosis as per Virchow’s triad. However, we present a case of isolated RV thrombus in a patient without evidence of deep vein thrombosis or right ventricular hypokinesis who presented with dyspnea on exertion.

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Section: Discussionmentioning

confidence: 99%

“…Papillary muscle, moderator band, and coarse trabeculations in the RV make the diagnosis of right ventricular thrombus challenging 5 . TTE is the initial modality of choice for diagnosing RHT 8 .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and therapeutic challenge: A case of right ventricular thrombus

Bedi,

Sabri,

Sevella

et al. 2024

gcsp

View full text Add to dashboard Cite

show abstract

“…Large studies are indicated to determine optimal management for these cases. Type B thrombus has a more favourable outcome and thrombolysis is currently not recommended 3…”

Section: Descriptionmentioning

confidence: 99%