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KMID : 0390620130210010037
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Journal of Cardiovascular Ultrasound
2013 Volume.21 No. 1 p.37 ~ p.39
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Successful Embolectomy of a Migrated Thrombolytic Free-Floating Massive Thrombus Resulting in a Pulmonary Thromboembolism
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Yoo Yeon-Pyo
Kang Ki-Woon
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Abstract
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The optimal treatment for free-floating massive right heart thrombi remains uncertain. However, they appear to increase the risk of mortality compared to the existence of a solitary pulmonary thromboembolism. Thrombolytic therapy has been shown to be effective in most patients, resulting in complete resolution of the massive thrombus and clinical improvement. We report the echocardiographic disappearance of a free-floating right heart thrombus after thrombolysis, however, the thrombus migrated and resulted in pulmonary thromboembolism. It was successfully removed with surgery.
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KEYWORD
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Thrombus , Right heart , Pulmonary embolism , Surgical embolectomy
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