Clinical Case: Direct Diagnosis of Pulmonary Embolism on Echocardiography
2021
Ultrasound diagnosis of pulmonary embolism by direct visualization of a thrombus in the pulmonary artery is exceptional.
In this work, we report a case of pulmonary embolism revealed by thrombi in the right atrium and in the common trunk of the pulmonary artery, discovered on echocardiography.
A 65-year-old patient admitted with predominantly right heart failure. Echocardiography shows a large, floating right intraauricular thrombus and thrombus in the common trunk of the pulmonary artery. The patient's hemodynamic status was stable. Long-term anticoagulation allowed the thrombi to disappear.
It is rare to find a thrombus directly in the pulmonary artery on ultrasound. There is no recommendation for the management of right intracavitary thrombi. Our patient received long-term anticoagulation with K antivitamins.
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