Korean Circ J.  2011 Jan;41(1):51-52. 10.4070/kcj.2011.41.1.51.

A Thief Caught in the Act: Free Floating Venous Thrombus in the Right Heart Associated With Pulmonary Embolism

• Lee SP
• Kim HK
• Kim SY
• Oh IY
• Cho HJ
• Kim YJ
• Sohn DW

• KMID: 2225156
• DOI: http://doi.org/10.4070/kcj.2011.41.1.51

Abstract

No abstract available.

MeSH Terms

Heart
Pulmonary Embolism
Thrombosis

Figure

• 

  Fig. 1 Representative echocardiography and computed tomography images at initial presentation (A-E) and at follow-up (F-I). A and B: a large, serpentine, free-floating thrombus (arrows) was noted at the dilated right artium and ventricle (A) and also, inferior vena cava (B). C: the right ventricle was dilated and compressed the left ventricle in to a typical D-shape. D, E and F: thrombus was demonstrated clearly at both pulmonary arteries (arrows) (D) and also at the right femoral vein (arrows) (E) on computed tomography, confirming the diagnosis of pulmonary thromboembolism with concomitant deep vein thrombosis. F and G: the free-floating thrombus had disappeared from the right heart (F) and also, the inferior vena cava (G) 4 days after continuous intravenous heparin. H: the right and left ventricle had recovered into a normal configuration 14 days after oral anticoagulation. I: thrombus at pulmonary arteries had disappeared after 4 months of oral anticoagulation.

Reference

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