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Year : 2017  |  Volume : 1  |  Issue : 1  |  Page : 24-26

Morphology of right heart thrombi in pulmonary embolism: A case series and analysis

Institute of Cardiology, Madras Medical College and RGGGH, Chennai, Tamil Nadu, India

Correspondence Address:
Nisamudeen Kajamohideen
Institute of Cardiology, Madras Medical College and RGGGH, Chennai - 600 003, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiae.JIAE_20_17

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Introduction: The occurrence of right heart thrombus (RiHT) in pulmonary embolism (PE) carries poor prognosis. Type A Thrombi are serpiginous, highly mobile with high mortality. Type B Thrombi are less mobile and have better prognosis. Type C is intermediate in all characteristics. Methods: This is an observational study done in patients presenting with RiHT with PE to the emergency unit of our institute from March to August 2016. A total of seven patient's clinical and electrocardiographic data were collected with a history of deep vein thrombosis or hypercoagulability. Results: This case series of seven patients with right heart thrombi in pulmonary embolism showed a predominance of male patients, with right ventricle dysfunction and pulmonary hypertension in all cases. Conclusion: Early fibrinolysis in type A thrombus had a favourable outcome. Mortality was 29% in our series.

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