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ES Journal of Cardiology

ISSN: 2768-0533

Pulmonary Embolism Associated With Thrombi of the Right Heart: What Appropriate Care? Clinical Case and Literature Review

  • Research Article

  • Taryètba A. Arthur Seghda1*, Miguel A.M Lopez1, Théodore Boro2, Issa Sawadogo1, Aminata Niakara3, Saidou Dimzouré1, Georges R.C Millogo4, Nobila V Yaméogo4, Elodie Sib5, André Samadoulougou1 and Patrice Zabsonré4
  • 1Cardiology department, Bogodogo University Hospital,Ouagadougou, Burkina Faso
  • 2Cardiology department, Saint Camille Hospital, Ouagadougou,Burkina Faso
  • 3Cardiology department Workers’ Health Office, Ouagadougou Burkina Faso
  • 4Cardiology department, Yalgado OuédraogoUniversity Hospital,Ouagadougou, Burkina Faso
  • 5Cardiology department, International Polyclinic of Ouagadougou, Burkina Faso
  • *Corresponding author: Taryètba André Arthur Seghda, Cardiology department, Bogodogo University Hospital, Ouagadougou, Burkina Faso
  • Received: June 23, 2020; Accepted: July 06, 2020; Published: July 07, 2020

Abstract

Pulmonary embolism associated with right heart thrombi mainly in the atrium, raise therapeutic dilemmas. Their relative rarity does not allow the development of a consensus recommendation for standardized treatment. We set out to describe a typical clinical case of a pulmonary embolism with large floating thrombus of the right atrium and to do a literature review in order to present a summary of the practices and results obtained by several authors. It appears that three types of treatment can be used. Thrombolysis turns out to be the treatment most often used even in patients whose hemodynamic state is stable.

Keywords

pulmonary embolism, right heart thrombi, management.