Martínez MJM, Díaz OFG, Micher EJD, Kershenovich SS

Language: Spanish
References: 15
Page: 210-215
PDF size: 455.64 Kb.

ABSTRACT

The treatment of pulmonary embolism with the presence of a mobile thrombus or in transit through the right heart is not standardized. The presence of a thrombus in transit is a rare condition that carries a high mortality rate. Thrombolytic therapy or percutaneous and surgical embolectomy are the treatments that have been accepted. This case shows the success of surgical embolectomy.

REFERENCES

1. Jaff M, McMurtry S, Archer S, Cushman M, Goldenberg N, Goldhaber S et al. AHA scientific statement management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension. Circulation. 2011; 123: 1788-1830.

2. Kasper W, Kostantinides S, Geibel A, Olschewski M, Heinrich F, Grosser K et al. Management strategies and determinants of outcome in acute major pulmonary embolism: results of a multicenter registry. J Am Coll Cardiol. 1997; 30 (5): 1165-1171.

3. Ravindranath K, Ravi SM, Srinivas P, Channabasappa Y, Karur S, Nanjappa M. Free floating right atrial thrombus with massive pulmonary embolism: near catastrophic course following thrombolytic therapy. Indian Heart J. 2013; 65: 460-463.

4. Cameron J, Pohlner PG, Stafford EG, O’Brien M, Bett JH, Murphy AL. Right heart trombus: recognition, diagnosis and management. J Am Coll Cardiol. 1985; 5: 1239-1243.

5. Torbicki A, Galié N, Covezzoli A, Rossi E, De Rosa M, Goldhaber S. Right heart thrombi in pulmonary embolism. Results from the international cooperative pulmonary embolism registry. J Am Coll Cardiol. 2003; 41 (12): 2245-2251.

6. Casazza F, Becattini C, Guglielmelli E, Floriani I, Morrone V, Caponi C et al. Prognostic significance of free-floating right heart thromboemboli in acute pulmonary embolism: results from the Italian Pulmonary Embolism Registry. Thromb Haemost. 2014; 111 (1): 53-57.

7. Ferrari E, Benhamou M, Berthier F, Baudouy M. Mobile thrombi of the right heart in pulmonary embolism. Chest. 2005; 127: 1051-1053.

8. Meneveau N, Bassand JP, Schiele F, Bouras Y, Anguenot T, Bernard Y et al. Safety of thrombolytic theraphy in elderly patients with massive pulmonary embolism: a comparison with nonelderly patients. J Am Coll Cardiol. 1993; 22 (4): 1075-1059.

9. Marti C, John G, Konstantinides S, Combescure C, Sanchez O, Lankeir M et al. Systemic thrombolytic therapy for acute pulmonary embolism: a systematic review and meta-analysis. Eur Heart J. 2015; 36: 605-614.

10. Athappan G, Sengodan P, Chacko P, Gandhi S. Comparative efficacy of different modalitis for treatment or right heart thrombi in transit: a pooled analysis. Vasc Med. 2015; 20 (2): 131-138.

11. Hisatomi K, Yamada T, Onohara D. Surgical embolectomy of a floating right heart thrombus and acute massive pulmonary embolism: report of a case. Ann Thorac Cardiovasc Surg. 2013; 19: 316-319.

12. Mohan B, Aslam N, Kumar MA, Takkar CS, Wander P, Tandon R et al. Impact of catheter fragmentation followed by local intrapulmonary thrombolysis in acute high risk pulmonary embolism as primary therapy. Indian Heart J. 2014; 66: 294-301.

13. Engelberger RP, Kucher N. Ultrasound-assisted thrombolysis for acute pulmonary embolism: a systematic review. Eur Heart J. 2014; 35: 758-764.

14. Akay TH, Sezgin A, Ozkan S. Gultekin B, Aslim E, Aslamaci S. Successful surgical treatment of massive pulmonary embolism after coronary bypass surgery. Tex Heart Inst J. 2006; 33: 498-500.

15. Champion S, Braunberger E. Surgical embolectomy for intermediate-risk acute pulmonary embolism. Interact Cardiovasc Thoracic Surg. 2015; 20: 274-275.