| Intraoperative diagnosis of right atrial thrombi with pulmonary embolism using transthoracic echocardiography |
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Sung Woo Cho, Tae Hoon Kim, Hee Young Seo, Mee Won Hwang, Jeong Hoon Kim, Young Sup Byun, Kyoung Min Park |
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인제대학교 의과대학 상계백병원 내과학교실 |
| 수술 중에 경흉부 심초음파로 진단된 우심방 혈전을 동반한 폐색전증 1예 |
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조성우, 김태훈, 서희영, 황미원, 김정훈, 변영섭, 박경민 |
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Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea |
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| Abstract |
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Right atrial (RA) thrombi are rarer than left atrial thrombi; they are frequently associated with major pulmonary embolism and carry a very high risk of mortality, requiring prompt diagnosis and treatment. In particular, multiple, mobile right atrial thrombi have a very poor prognosis because of the high incidence of massive pulmonary embolism. Echocardiography is useful in the diagnosis of RA thrombi. The treatment options for RA thrombi are anticoagulation, thrombolysis, and thrombectomy. Here, we report a case of multiple, mobile right atrial thrombi and pulmonary embolism that presented as cardiogenic shock during arthroscopic lavage of a septic knee. It was diagnosed using transthoracic echocardiography and treated successfully with thrombolytics and anticoagulants. (Korean J Med 78:624-629, 2010) |
| Key Words:
Thrombus; Right atrium; Pulmonary embolism; Echocardiography |
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