Mechanical thrombectomy of a clot-in-transit followed by low-dose systemic lysis: a case report of pulmonary embolism and progressive right heart failure.

ABSTRACT:

Background

Acute pulmonary embolism (PE) is a life-threatening situation. While anticoagulation should be initiated without any delay in all patients with an intermediate or high clinical probability of PE, individual acute phase treatment in patients with intermediate or intermediate-high-risk PE still can be optimized.

Case summary

An 82-year-old female patient was referred to our emergency department after experiencing syncope and acute onset of shortness of breath. Computed tomography (CT) of the chest showed central and extensive peripheral PE. Echocardiography additionally revealed a massive and highly mobile clot-in-transit located in the right atrium (RA). Given the size and mobility of the clot-in-transit, we chose to perform an off-label mechanical thrombectomy. Du

SUBMITTER: Loebig S 

PROVIDER: S-EPMC11799944 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature