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  • Title: Thrombolysis for Right Atrial Thrombus-in-Transit in a Patient With Massive Pulmonary Embolism.
    Author: Othman M, Briasoulis A, Afonso L.
    Journal: Am J Ther; 2016; 23(3):e930-2. PubMed ID: 24786851.
    Abstract:
    Right atrial thrombus is a rare entity frequently encountered in patients with pulmonary embolism. Although the existing guidelines do not offer a clear statement for the management of right atrial thrombus and pulmonary embolism, this condition is associated with worse outcomes. We present a case of a 79-year-old patient presenting with signs suggestive of massive pulmonary embolism who was found to have a right atrial thrombus on transthoracic echocardiogram and was successfully treated with systemic thrombolysis. Despite the lack of data from randomized studies, right atrial thombi in transit should be considered a severe form of thromboembolic disease often requiring aggressive treatment, particularly in patients with severe right ventricular dysfunction.
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