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Abstract
RÉSUMÉ
High-risk pulmonary embolism is a serious condition, with an even higher mortality rate when combined with right intra-cavitary thrombus and unstable hemodynamic parameters. In a context of limited resources, treatment only by anticoagulant is an option to consider for carefully selected patients.
ABSTRACT
L’embolie pulmonaire à haut risque est une pathologie grave, ayant un taux de mortalité encore plus élevé lorsqu’il s’y associe un thrombus intra cavitaire droit et des paramètres hémodynamiques instables. Dans un contexte de ressources limitées, le traitement uniquement par anticoagulant est une option à envisager pour des patients sélectionnés avec précaution.
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References
- R. Mollazadeh MAO, and A. R. A. Ardekani. Right cardiac thrombus in transit among patients with pulmonary thromboemboli. Clinical Cardiology. 2009;vol.32(6):E27-E31.
- G. Samoukovic TM, and B. de Varennes The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: a literature review from 1968 to 2008. Interactive Cardiovascular and Thoracic Surgery. 2010;vol.11(3):265–70.
- L. Chartier JBe, M. Delomez et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999;vol.99(21):2779–83.
- E. Ferrari MB, F. Berthier, and M. Baudouy. Mobile thrombi of the right heart in pulmonary embolism: delayed disappearance after thrombolytic treatment. Chest. 2005;vol.127(3):1051–3.
- Ikeda R YS, Nakahara N, Kobayashi N, Uno K, Nakata T, Tsuchihashi K, Shimamoto K. Intracardiac floating thrombi in patients with acute pulmonary thromboembolism. Cardiology. 2000;35(6):433-8.
- L. Chapoutot PN, D. Metz, and al. Floating right heart thrombi and pulmonary embolism: diagnosis, outcome and therapeutic management. Cardiology. 1996;vol. 87(2):169–74.
- A. Torbicki NGe, A. Covezzoli, E. Rossi, M. De Rosa, and S. Z. Goldhaber. Right heart thrombi in pulmonary embolism: Results from the International Cooperative Pulmonary Embolism Registry. Journal of the American College of Cardiology. 2003;volume 41(12):2245–51.
- Jaff MR MM, Archer SL. . Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;vol.123(1788-830).
- Clovis Nkoke OF, Lise Camus, and Laurence Flork. Free Floating Right Heart Thrombus Associated with Acute Pulmonary Embolism: An Unsettled Therapeutic Difficulty. Case Reports in Cardiology. 2015;Volume 2015(Article ID 364780):4.
- E. A. de Vrey JJB, D. Poldermans, E. E. van der Wall, and E. R. Holman, Mobile right heart thrombus and massive pulmonary embolism. European Journal of Echocardiography. 2007;vol.8(3):229-31.
- Goldhaber SZ. Thrombolysis for pulmonary embolism. Progress in Cardiovascular Diseases. 1991;vol.34(2):113-24.
- P. S. Rose NMP, D. B. Pearse, and al. Treatment of right heart thromboemboli. Chest. 2002;vol.121(806-814).
- Kunal Mahajan PN, Sanjeev Asotra, Munish Dev. Right atrial free-floating thrombus in a patient with acute pulmonary embolism. BMJ Case Rep. 2016;doi:10.1136/bcr-2016-215414.
- Sahela Nasrin FAC, Md. Salahuddin, Tahera Nazrin and Masuma Jannat Shafi. Pulmonary embolism with floating right atrial thrombus successfully treated with streptokinase: a case report. BMC Research Notes. 2016;vol.9:371.
- European Working Group on Echocardiography. The European cooperative study on the clinical significance of right heart thrombi,. European Heart Journal. 1989;vol. 10(12):1046-59.
- Ravindranath Khandenahally Shankarappa RSM, Srinivas Papaiah, Yeriswamy M. Channabasappa, Satish Karur, Manjunath Cholenahally Nanjappa. Free floating right atrial thrombus with massive pulmonary embolism:near catastrophic course following thrombolytic therapy. Indian Heart Journal. 2013;vol.65:460-3.
- B. Dzudovic SO, S. Rusovic, and al. Therapeutic approach in patients with a floating thrombus in the right heart. Journal of Emergency Medicine. 2013;vol.44(2):e199-e205.
References
R. Mollazadeh MAO, and A. R. A. Ardekani. Right cardiac thrombus in transit among patients with pulmonary thromboemboli. Clinical Cardiology. 2009;vol.32(6):E27-E31.
G. Samoukovic TM, and B. de Varennes The role of pulmonary embolectomy in the treatment of acute pulmonary embolism: a literature review from 1968 to 2008. Interactive Cardiovascular and Thoracic Surgery. 2010;vol.11(3):265–70.
L. Chartier JBe, M. Delomez et al. Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients. Circulation. 1999;vol.99(21):2779–83.
E. Ferrari MB, F. Berthier, and M. Baudouy. Mobile thrombi of the right heart in pulmonary embolism: delayed disappearance after thrombolytic treatment. Chest. 2005;vol.127(3):1051–3.
Ikeda R YS, Nakahara N, Kobayashi N, Uno K, Nakata T, Tsuchihashi K, Shimamoto K. Intracardiac floating thrombi in patients with acute pulmonary thromboembolism. Cardiology. 2000;35(6):433-8.
L. Chapoutot PN, D. Metz, and al. Floating right heart thrombi and pulmonary embolism: diagnosis, outcome and therapeutic management. Cardiology. 1996;vol. 87(2):169–74.
A. Torbicki NGe, A. Covezzoli, E. Rossi, M. De Rosa, and S. Z. Goldhaber. Right heart thrombi in pulmonary embolism: Results from the International Cooperative Pulmonary Embolism Registry. Journal of the American College of Cardiology. 2003;volume 41(12):2245–51.
Jaff MR MM, Archer SL. . Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;vol.123(1788-830).
Clovis Nkoke OF, Lise Camus, and Laurence Flork. Free Floating Right Heart Thrombus Associated with Acute Pulmonary Embolism: An Unsettled Therapeutic Difficulty. Case Reports in Cardiology. 2015;Volume 2015(Article ID 364780):4.
E. A. de Vrey JJB, D. Poldermans, E. E. van der Wall, and E. R. Holman, Mobile right heart thrombus and massive pulmonary embolism. European Journal of Echocardiography. 2007;vol.8(3):229-31.
Goldhaber SZ. Thrombolysis for pulmonary embolism. Progress in Cardiovascular Diseases. 1991;vol.34(2):113-24.
P. S. Rose NMP, D. B. Pearse, and al. Treatment of right heart thromboemboli. Chest. 2002;vol.121(806-814).
Kunal Mahajan PN, Sanjeev Asotra, Munish Dev. Right atrial free-floating thrombus in a patient with acute pulmonary embolism. BMJ Case Rep. 2016;doi:10.1136/bcr-2016-215414.
Sahela Nasrin FAC, Md. Salahuddin, Tahera Nazrin and Masuma Jannat Shafi. Pulmonary embolism with floating right atrial thrombus successfully treated with streptokinase: a case report. BMC Research Notes. 2016;vol.9:371.
European Working Group on Echocardiography. The European cooperative study on the clinical significance of right heart thrombi,. European Heart Journal. 1989;vol. 10(12):1046-59.
Ravindranath Khandenahally Shankarappa RSM, Srinivas Papaiah, Yeriswamy M. Channabasappa, Satish Karur, Manjunath Cholenahally Nanjappa. Free floating right atrial thrombus with massive pulmonary embolism:near catastrophic course following thrombolytic therapy. Indian Heart Journal. 2013;vol.65:460-3.
B. Dzudovic SO, S. Rusovic, and al. Therapeutic approach in patients with a floating thrombus in the right heart. Journal of Emergency Medicine. 2013;vol.44(2):e199-e205.