Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit
Right heart thrombus in transit clot (RHTT) associated with a pulmonary thromboembolism (PTE) is a rare but potentially fatal diagnosis. Early diagnosis and immediate intervention are crucial. This report describes the case of a healthy, physically active 32-year-old female who presented 19 days pos...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/7561986 |
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| author | Cynthia Mardinger Paul J. E. Boiteau John B. Kortbeek |
| author_facet | Cynthia Mardinger Paul J. E. Boiteau John B. Kortbeek |
| author_sort | Cynthia Mardinger |
| collection | DOAJ |
| description | Right heart thrombus in transit clot (RHTT) associated with a pulmonary thromboembolism (PTE) is a rare but potentially fatal diagnosis. Early diagnosis and immediate intervention are crucial. This report describes the case of a healthy, physically active 32-year-old female who presented 19 days postoperatively, following an anterior cruciate ligament reconstruction and partial lateral meniscectomy with a saddle PE, RHTT, and right ventricular (RV) strain. The patient received half of the standard dose of intravenous tissue plasminogen activator (TPA) in combination with anticoagulation and survived. Case reports of RHTT will inform future studies designed to evaluate whether and when thrombolysis should be administered. |
| format | Article |
| id | doaj-art-1398076481be424ab50b60ea2fb8e8a4 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-1398076481be424ab50b60ea2fb8e8a42025-02-03T01:27:04ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/75619867561986Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in TransitCynthia Mardinger0Paul J. E. Boiteau1John B. Kortbeek2Cumming School of Medicine, University of Calgary, Foothills Medical Centre, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, CanadaDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, CanadaDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, CanadaRight heart thrombus in transit clot (RHTT) associated with a pulmonary thromboembolism (PTE) is a rare but potentially fatal diagnosis. Early diagnosis and immediate intervention are crucial. This report describes the case of a healthy, physically active 32-year-old female who presented 19 days postoperatively, following an anterior cruciate ligament reconstruction and partial lateral meniscectomy with a saddle PE, RHTT, and right ventricular (RV) strain. The patient received half of the standard dose of intravenous tissue plasminogen activator (TPA) in combination with anticoagulation and survived. Case reports of RHTT will inform future studies designed to evaluate whether and when thrombolysis should be administered.http://dx.doi.org/10.1155/2020/7561986 |
| spellingShingle | Cynthia Mardinger Paul J. E. Boiteau John B. Kortbeek Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit Case Reports in Medicine |
| title | Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit |
| title_full | Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit |
| title_fullStr | Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit |
| title_full_unstemmed | Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit |
| title_short | Thrombolysis of Postoperative Acute Pulmonary Embolism with a Thrombus in Transit |
| title_sort | thrombolysis of postoperative acute pulmonary embolism with a thrombus in transit |
| url | http://dx.doi.org/10.1155/2020/7561986 |
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