Pulmonary embolism due to right atrial freefloati

Authors: Mika Bando Hirotsugu Yamada Kenya Kusunose Shuji Hayashi Yuriko Takagawa Yoshihito Saijo Susumu Nishio Kozue Ogasawara Masataka Sata

Publish Date: 2015/09/25

Volume: 13, Issue: 4, Pages: 145-147

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Abstract

A 69yearold female with polymyositis was referred to our hospital with a chief complaint of dyspnea Transthoracic echocardiography showed right ventricular overloading In addition to twodimensional echocardiography observation of the abnormal freefloating stringlike mass by threedimensional echocardiography provided superior visualization of the features of the mass which protruded into the right ventricle across the tricuspid valve during diastole These findings enabled us to confirm the diagnosis of venous thrombus The thrombus disappeared during the echocardiographic examination Multidetectorrow computed tomography showed a stringlike thrombus across the bifurcation of the main pulmonary artery Anticoagulation therapy was initiated with heparin and warfarin and fondaparinux was started on the fourth day Threedimensional echocardiography was useful in characterizing the motion and extent of the thrombusAll procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation institutional and national and with the Helsinki Declaration of 1964 and later revisions Informed consent was obtained from the patient for being included in the study

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