• Acta cardiologica · Aug 2002

    Review Case Reports

    "Thrombus in transit"--the role of echocardiography in the diagnosis of massive pulmonary embolism and a review of the literature.

    • James Oliver O'Neill, Rashid Iqbal, and Kathleen McGarry.
    • Department of Medicine, Our Lady's Hospital, Navan, Ireland. jimon@gofree.indigo.ie
    • Acta Cardiol. 2002 Aug 1;57(4):291-4.

    AbstractThe diagnosis of acute pulmonary embolus is often difficult. We present a case history where bedside transthoracic echocardiography provided a rapid and convenient aid to diagnosis by demonstrating a venous "thrombosis in transit" as a spiral shaped mass in the right atrium prolapsing into the right ventricle. We also review the management and outcome in recent, similar cases. Overall mortality is 33% for pulmonary embolus and associated thrombus in transit. Transthoracic echocardiography may be a useful tool in the diagnosis of pulmonary embolus. The presence of thrombus in the right heart is a rare finding. The outcome in these patients is determined by the clinical presentation rather than by the identification of thrombus.

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