A Unique Case of Co-Occurrence of Bilateral Pulmonary Artery Embolism and Right Atrium Thrombus

Am J Med Sci. 2021 Jun;361(6):786-790. doi: 10.1016/j.amjms.2020.09.012. Epub 2020 Sep 28.

Abstract

Pulmonary embolism (PE) is considered a major cause of morbidity and mortality in both inpatient and outpatient settings. PE can be presented in different clinical pictures. However, the association between PE and right atrial thrombus is not frequently reported. PE is categorized based on size, location and clinical presentation. Although management changes between different PE sub-types, optimal medical therapy is not well established for coexisting PE with right atrial thrombus. Herein, we present a unique case of a 58-year-old male with bilateral PE and atrial thrombus, with no known underlying risk factors.

Keywords: Anticoagulation; Pulmonary embolism; Right atrium thrombus.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Heart Atria / diagnostic imaging
  • Heart Diseases / complications*
  • Heart Diseases / diagnostic imaging*
  • Heart Diseases / drug therapy
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Embolism / complications*
  • Pulmonary Embolism / diagnostic imaging*
  • Pulmonary Embolism / drug therapy
  • Thrombosis / complications*
  • Thrombosis / diagnostic imaging*
  • Thrombosis / drug therapy

Substances

  • Heparin, Low-Molecular-Weight