Floating thrombi on the Eustachian valve as a complication of venous thromboembolic disease

Int J Cardiol. 2004 Feb;93(2-3):289-91. doi: 10.1016/S0167-5273(03)00153-0.

Abstract

Floating right heart thrombi can occur in 4-18% of patients with pulmonary embolism. Usually, the diagnosis is done by echocardiography and carries an important prognostic significance as thrombi can embolize at any moment and severe pulmonary embolism is the most frequent way of floating right heart thrombi presentation (mortality rate >40%). We present a case report of floating right thrombi in a patient with proven deep venous thrombosis complicated with nonmassive pulmonary embolism that was successfully treated with thrombolysis.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Echocardiography
  • Fibrinolytic Agents / therapeutic use
  • Heart Atria
  • Heart Diseases / complications*
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / drug therapy
  • Heparin / therapeutic use
  • Humans
  • Male
  • Pulmonary Embolism / complications*
  • Streptokinase / therapeutic use
  • Thrombolytic Therapy
  • Thrombosis / complications*
  • Thrombosis / diagnostic imaging
  • Thrombosis / drug therapy
  • Tissue Plasminogen Activator / therapeutic use
  • Venous Thrombosis / complications*

Substances

  • Fibrinolytic Agents
  • Heparin
  • Streptokinase
  • Tissue Plasminogen Activator