Massive pulmonary embolism and right ventricle thrombus post-acute myocardial infarct
DOI:
https://doi.org/10.21615/cesmedicina.5908Keywords:
Non ST-Elevated Myocardial Infarction, Pulmonary embolism, Heart ventricleAbstract
Introduction: The right ventricular thrombus (TVD) and pulmonary embolism (PE) after acute myocardial infarction without ST elevation are insufficiently understood. It is considered a medical emergency and it is imperative to establish a therapeutic option immediately. Case presentation: A 80-year-old patient admitted to the emergency room for syncope, chest pain, and persistent dyspnea. Acute coronary syndrome is confirmed by electrocardiogram and elevated troponin I. In complementary studies, an incidental finding of thrombus in the right ventricle and in angiotac was found, confirming massive pulmonary embolism. Discussion: Thrombus in the right ventricle and massive post-infarction pulmonary embolism is a very rare phenomenon in the clinical setting due to the early introduction of anti-ischemic therapy. More research is needed to clarify this event. This case report aims to promote early clinical suspicion, achieve a timely diagnosis, and improve patient outcome.
Downloads
References
Basit H, Malik A, Huecker MR. Non ST Segment Elevation (NSTEMI) Myocardial Infarction. [Updated 2020 May 4]. StatPearls Internet Treasure Isl FL StatPearls Publ 2020 Jan- [Internet]. Disponible en: Available from: https://www.ncbi.nlm.nih.gov/books/NBK513228/
Casazza F, Becattini C, Guglielmelli E. Prognostic significance of free-floating right heart thromboemboli in acute pulmonary embolism: results from the Italian Pulmonary Embolism Registry. Thromb Haemost. 2014;111:53–7.
Naeem K. Floating thrombus in the right heart associated with pulmonary embolism: The role of echocardiography. Pak J Med Sci. 2015;31(1):233-235.
Mujer M, Saleh Y, Abro C, Kandola SK. M. Pulmonary embolism with right ventricular thrombus: a management dilemma. BMJ Case Rep. 2019;12(2):e229184.
Rose PS, Punjabi NM, Pearse DB. Treatment of right heart thrombo-emboli. Chest. 2002;121:806-814.
De Vrey EA, Bax JJ, Poldermans D. Mobile right heart thrombus and massive pulmonary embolism. Eur J Echocardiogr. 2007;8:229-231.
Kuno T, Imaeda S, Hashimoto K, Ryuzaki T, Saito T, Yamazaki H, Tabei R, Kodaira M, Hase M, and Numasawa Y. Recent inferior myocardial infarction complicated with a right ventricular thrombus detected by three cardiac imaging modalities. Intern Med. 2018;57(5), pp.693–695.
Al-Sadawi M, Abdul R, McFarlane SI. Right ventricular infarction associated with pulmonary embolism. Am J Med Case Rep. 2019;7(7):151-157.
Boukantar M, Lim P, Mitchell-Heggs L. Right ventricular thrombus and pulmonary embolism in patient with anterior myocardial infarction. Eur Heart J. 2010;31(23):2870-2870.
Zimmermann FM, Peels KH. Simultaneous massive pulmonary embolism and acute myocardial infarction, associated with patent foramen ovale. Eur Heart J. 2014;7;35(30):2046.
Dinesh Kumar US, Nareppa U, Shetty SP, et al. Right ventricular thrombus in case of atrial septal defect with massive pulmonary embolism: a diagnostic dilemma. Ann Card Anaesth. 2016;19:173–6.
Payam Ebrahimifar, Javad Shahabi. Right ventricular thrombosis as a manifestation of Behçet’s syndrome. ARYA Atheroscler. 2017;13(2):91-94.
Lempp S, Schwenger V. Isolated right ventricular thrombus in an adult patient with nephrotic syndrome: a case report. J Med Case Rep. 2017;11(1):311.
Torbicki A, Galié N, Covezzoli A, Rossi E, De Rosa M, Goldhaber SZ. Right heart thrombi in pulmonary embolism:results from the International Cooperative Pulmonary Embolism Registry. J Am Coll Cardiol. 2003;41:2245-2251.
Torres-Martel J.M., Bautista-Hernández K.M. Trombofilia hereditaria y trombo intracardíaco. Rev Col Cardiol. 2018;25(3):238.e1---238.e4.
Verma R, Duncanson ER, Bajpai A. Right atrial thrombus arising from the junction of the right atrium and the inferior vena cava. Cardiovasc Pathol. 2014;23(5):317-318.
Tsang BK , Platts DG , Javorsky G , et al. Right ventricular thrombus detection and multimodality imaging using contrast echocardiography and cardiac magnetic resonance imaging. Heart Lung Circ [Internet]. 2012;21:185–8. Disponible en: doi:10.1016/j.hlc.2011.08.012
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 CES Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de reproducción (copyright)
Cada manuscrito se acompañará de una declaración en la que se especifique que los materiales son inéditos, que no han sido publicados anteriormente en formato impreso o electrónico y que no se presentarán a ningún otro medio antes de conocer la decisión de la revista. En todo caso, cualquier publicación anterior, sea en forma impresa o electrónica, deberá darse a conocer a la redacción por escrito.
Plagios, duplicaciones totales o parciales, traduccones del original a otro idioma son de responsabilidad exclusiva de los autores el envío.
Los autores adjuntarán una declaración firmada indicando que, si el manuscrito se acepta para su publicación, los derechos de reproducción son propiedad exclusiva de la Revista CES Medicina.
Se solicita a los autores que proporcionen la información completa acerca de cualquier beca o subvención recibida de una entidad comercial u otro grupo con intereses privados, u otro organismo, para costear parcial o totalmente el trabajo en que se basa el artículo.
Los autores tienen la responsabilidad de obtener los permisos necesarios para reproducir cualquier material protegido por derechos de reproducción. El manuscrito se acompañará de la carta original que otorgue ese permiso y en ella debe especificarse con exactitud el número del cuadro o figura o el texto exacto que se citará y cómo se usará, así como la referencia bibliográfica completa.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
