Naeem Kashif
Kashif Naeem, MRCP(UK), Department of Cardiology, Al Baraha Hospital, Dubai, UAE.
Pak J Med Sci. 2015 Jan-Feb;31(1):233-5. doi: 10.12669/pjms.311.6219.
Free-floating right heart thrombi are rare and usually represent travelling clots from venous system to the lung. Almost exclusively, they are associated with pulmonary embolism. Despite associated high mortality, they are frequently under-diagnosed. We report a case of bilateral pulmonary embolism which was found to have a free-floating right atrial thrombus on echocardiography. The case, therefore, highlights the importance of echocardiography as a key examination in this setting. It can be performed at bedside to directly visualize the thrombi, assess and monitor right ventricular (RV) function, and help in making treatment decisions.
游离性右心血栓罕见，通常代表从静脉系统游走至肺部的血栓。几乎无一例外，它们都与肺栓塞相关。尽管其死亡率高，但往往诊断不足。我们报告一例双侧肺栓塞病例，经超声心动图检查发现有游离性右心房血栓。因此，该病例凸显了超声心动图在这种情况下作为关键检查的重要性。它可在床边进行，直接观察血栓，评估和监测右心室功能，并有助于做出治疗决策。
