Department of Gastroenterology, Southend Hospital, Westcliff-on-Sea, Essex, United Kingdom
Case Report
Thrombus in Transit: A Case Report of Right Ventricular
Thrombus with Massive Pulmonary Embolism and Right Ventricular
Strain
Author(s): Zahid Ullah Khan*
We present a case of 72 year old patient who presented with chest pain, shortness of breath (sob) for 2 days and 3 episodes of collapses with loss
of consciousness (LOC). His past medical history includes Prostate carcinoma, hypercholesterolaemia and he had AstraZeneca covid vaccines 6
months ago. He was haemodynamically stable and had urgent Computerized Tomography Pulmonary Angiography (CTPA), confirming bilateral
pulmonary embolism with evidence of right heart strain. His clinical examination was unremarkable apart from dyspnoea. He was commenced
on twice daily treatment dose Clexane and was not thrombolysed in view of haemodynamic stability. He had urgent bedside echocardiogram
confirming right ventricular thrombus with associated right heart strain, with no evidence of Patent Foramen Ovale (PFO). Electrocardiogram
(ECG) showed right bundle branch block (RB.. Read More»
DOI:
10.4172/2165-7920.10001493
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report