ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Floating, Grapelike Thrombus In The Right Atrium Resulting In Pulmonary Embolism During Echocardiography: A Case Report
Derya TOK, MDa Doğan ERDOĞAN, MD,a Hakan GÜLLÜ, MD,aMuhammet BİLGİ, MD,a Haldun MÜDERRİSOĞLU, MDa
aDepartment of Cardiology, Başkent University, Konya Medical and Research Center, KONYA
Free-floating right heart thrombi are rarely seen on routine echocardiographic examination. They are generally diagnosed via trans-thoracic echocardiography in patients with suspected pulmonary embolism. A 30-year-old woman who had undergone surgical resection as the result of an intracranial mass presented with dyspnea and chest discomfort beginning suddenly 5 days after surgery. Echocardiography performed at bedside revealed a right atrial floating grapelike thrombus and indirect signs of pulmonary embolism. While echocardiographic examination was being performed, the thrombus prolapsed through the tricuspid orifice and passed into the right ventricle, where it disappeared into the right heart. Computed tomography of the thorax demonstrated thrombi within both right and left pulmonary arteries and their segmental branches, which was compatible with pulmonary embolism. The patient was successfully treated with anticoagulant agents.Keywords: Thrombosis, echocardiography,pulmonary embolismTurkiye Klinikleri J Med Sci 2005, 25:306-309
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