Echocardiographic detection of left-sided atrial thrombi in pulmonary embolism

Dieudonne, Patrick; Jottrand, Maurice

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Echocardiographic detection of left-sided atrial thrombi in pulmonary embolism

par Dieudonne, Patrick

;Jottrand, Maurice

Référence Journal of Cardiovascular Technology, 8, 1, page (65-66)
Publication Publié, 1989

Article révisé par les pairs

Résumé :

A 43-year-old man suffered a massive pulmonary embolism of the right lung 6 days after a surgical procedure. Echo-Doppler examination disclosed a left atrial thrombus and severe pulmonary hypertension. A right-to-left shunt was documented by angiography. Despite absence of a systemic lytic state after intravenous thrombolysis, the left atrial thrombus disappeared without clinical evidence of systemic embolism, while a right atrial thrombus subsequently appeared without ill effects. Echocardiography in this rare case documented a transient left auricle thrombus due to paradoxical thromboembolization.

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