• J Nippon Med Sch · Feb 2006

    Case Reports

    Surgical treatment of free-floating thrombi in the right side of the heart in patients with pulmonary thromboembolism.

    • Shigeo Yamauchi, Yuji Maruyama, Shun-ichiro Sakamoto, Hajime Imura, Hidetsugu Ogasawara, Ken-ichi Yamada, Hideyuki Iwaki, Hiromasa Yamashita, and Kazuo Shimizu.
    • Department of Thoracic and Cardiovascular Surgery, Chiba-Hokusoh Hospital, Nippon Medical School, 1715 Kamagari, Inba-gun, Inba-mura, Japan. shigeo@nms.ac.jp
    • J Nippon Med Sch. 2006 Feb 1; 73 (1): 33-7.

    AbstractFloating right heart thrombi (FRHTs) are rare in patients with acute pulmonary thromboembolism (PTE). FRHTs are an extreme therapeutic emergency, and any delay in treatment could be lethal. Heparin, thrombolysis, and catheter therapy are used most frequently to treat acute PTE. Here we present three cases involving operative treatment of FRHTs associated with PTE. Diagnose were made with echocardiography before proceeding to emergency surgery. Thromboembolectomy was performed on cardiopulmonary bypass. One patient became brain dead 10 days postoperatively owing to cardiopulmonary arrest before surgery. The two survivors were subsequently discharged home after uneventful recoveries.

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