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Tex Heart Inst J. 2013;40(4):487-8.

Use of heparin alone in treating pulmonary emboli found in association with in-transit right-heart thrombi in a nonagenarian.

Author information

1
Departments of Internal Medicine (Drs. Mahatanan and Temtanakitpaisan), Pulmonary and Critical Care (Dr. Rishikof), and Cardiology (Dr. Young), MetroWest Medical Center, Framingham, Massachusetts 01702.

Abstract

In patients who present with pulmonary embolism, right-heart thrombus is a rare condition that is associated with increased mortality rates, compared with pulmonary embolism alone. Thrombolytic therapy has been associated with a survival benefit in previous studies of pulmonary embolism arising from right-heart thrombus. However, older patients have been excluded from such studies because thrombolysis places them at excessively high risk of bleeding. We present a case, in a 92-year-old woman, of pulmonary embolism arising from right-heart thrombi that we successfully treated with heparin.

KEYWORDS:

Aged, 80 and over; anticoagulant drugs; coronary thrombosis/therapy; female; heparin; pulmonary embolism/etiology/ultrasonography; respiratory insufficiency/etiology; thrombolytic therapy

PMID:
24082387
PMCID:
PMC3783120
[Indexed for MEDLINE]
Free PMC Article
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