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.
pulmonary embolism, right heart thrombi, management.