ArticleJournal of cardiovascular echography
Free-Floating Right Heart Thrombus with Acute Massive Pulmonary Embolism: A Case Report and Review of the Literature.
Article in Journal of cardiovascular echography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Real-Time Echocardiographic Documentation of Right Heart Thrombus Migration Precipitating Pulmonary Embolism in an Asymptomatic Patient.JACC. Case reports · 2026Article
- A Dynamic Multimodality Imaging Assessment of Right Ventricular Thrombosis in a Middle-Aged Man with Lymphocytic Interstitial Pneumonia: The Additive Role of Tissue Doppler Imaging.Journal of clinical medicine · 2025Article
- A Rare Case of a Right Atrial Thrombus.Cureus · 2025Article
- Diagnostic and therapeutic challenge: A case of right ventricular thrombus.Global cardiology science & practice · 2024Article
- Characteristics and outcomes of angiovac-assisted debulking of intracardiac masses, thrombi, and endocarditis.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Article
- Low dose ultra-slow infusion thrombolytic therapy (LDUSITT) as an alternative option in a COVID-19 patient with free-floating right atrial thrombus: a case report and review of literature.Thrombosis journal · 2023Article
- Large free-floating right atrial mass presenting as intermediate-high risk pulmonary embolism: is reperfusion a better definite strategy?BMJ case reports · 2022Article
- Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free-floating right heart thrombus successfully managed with anticoagulation.Clinical case reports · 2021Article
- Right ventricular thrombus, a challenge in imaging diagnostics: a case series.European heart journal. Case reports · 2021Article
- Case of right ventricular and aortic thrombi in a patient with severe COVID-19.BMJ case reports · 2021Article
- Case Report: Successful revascularization in massive pulmonary embolism with a large protruding thrombus and dilated cardiomyopathy.F1000Research · 2021Article
- [Free-floating right heart thrombus with pulmonary embolism in SARS-CoV-2 patient].Medicina clinica · 2020Article
- Free-floating right heart thrombus with pulmonary embolism in SARS-CoV-2 patient.Medicina clinica (English ed.) · 2020Article
- Management of a huge right atrial thrombus in a patient with multiple comorbidities.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2020Article
- Advances in the diagnosis of acute pulmonary embolism.F1000Research · 2020Review
- Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism.CASE (Philadelphia, Pa.) · 2019Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Free-floating right heart thrombus (RHT) is an extreme medical emergency in the context of acute massive pulmonary embolism (PE). Despite the advances in early diagnosis, the management is still very debatable due to lack of consensus. We reported the case of a 66-year-old male, with a history of moderate renal dysfunction and dilated cardiomyopathy, who presented to the emergency department for acute dyspnea. His angiographic magnetic resonance imaging revealed bilateral extensive PE. Transthoracic echocardiography showed RHT with moderate right ventricular dysfunction and pulmonary hypertension. Venous Doppler of the lower extremities noted the presence of a floating clot in the right common femoral vein. The patient was managed successfully by thrombolytic therapy with tenecteplase. To the best of our knowledge, this is the first case report of RHT and PE from Lebanon. Published cases from Middle Eastern countries are scarse.
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