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Case Studies | Cardiology Science | India | Volume 4 Issue 5, May 2015 | Popularity: 6.1 / 10

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A Right Ventricle Type-B Thrombus with Massive Pulmonary Thrombo-Embolism: Crucial Role of Echocardiography

Laxmi H Shetty, Amit Chaudhary, Manjunath CN

Abstract: Right sided heart thrombi may develop within the right heart chambers or they may be peripheral venous clots that on their way to the lungs, accidentally lodge in a patent foramen ovale, tricuspid chordae or Chiari-s network. They have an association with high risk pulmonary embolism. Three patterns of right heart thrombi have been described. Type A thrombi are mainly localized in the right atrium, have a worm-like shape and are extremely mobile. Type B thrombi attach to the atrial or ventricular wall and are nonmobile. Type C thrombi are rare and are highly mobile. We describe a case of a young male with a massive pulmonary embolism where transthoracic echocardiography revealed type B thrombus in right ventricle.

Keywords: Type B RV Thrombus, Acute Pulmonary embolism, 2-D Echo, Shortness of breath, Right heart thrombi

Edition: Volume 4 Issue 5, May 2015

Pages: 113 - 116

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