. Challenges in the management of persistent Right ventricular thrombus, A case report

Authors

  • Genaro Hernández-Pilotzi Internist with subspecialty in Cardiology, Department of Clinical Cardiology, Hospital Regional "1 de Octubre", Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, Mexico. https://orcid.org/0000-0003-0742-604X
  • Julio César Rivera-Hermosillo Internist with subspecialty in Cardiology, high specialty in Echocardiography, Echocardiography Department, Hospital Regional "1 de Octubre", Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, Mexico.
  • Eliud Samuel Montes-Cruz Cardiologist, Chief of Hospitalization, Department of Hemodynamics, Hospital Regional "1 de Octubre", Instituto de Seguridad y Servicios Sociales de los Trabajadores Estado (ISSSTE), Mexico City, Mexico. Workers of the State (ISSSTE), Mexico City, Mexico.
  • Juan Miguel Rivera-Capello Cardiologist with high specialty in Hemodynamics, Department of Hemodynamics, Hospital Regional "1 de Octubre", Instituto de Seguridad y Servicios Sociales de los Trabajadores Estado (ISSSTE), Mexico City, Mexico. Social Services of State Workers (ISSSTE), Mexico City, Mexico.
  • Nestor Fabian Vargas-López Internist with subspecialty in Cardiology, Department of Clinical Cardiology, Hospital Regional "1 de Octubre", Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, Mexico.

DOI:

https://doi.org/10.37615/retic.v5n2a11

Keywords:

thrombus, right ventricle, anticoagulation.

Abstract

We present a case of 40-year-old male patient with a history of ischemic heart disease, right ventricular thrombus and systolic dysfunction. We report the case after successful chronic therapy with oral anticoagulation. After 2 years of follow-up, the patient remains stable without presenting data of pulmonary embolism, heart failure, arrhythmias, bleeding or the need for invasive management, without remission of the thrombus. The current literature does not show a consensus on the ideal treatment in these patients, an integral evaluation of risk-benefits is required, together with the experience of each center in the therapeutic option used.

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References

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Published

2022-08-30

How to Cite

1.
Hernández-Pilotzi G, Rivera-Hermosillo JC, Montes-Cruz ES, Rivera-Capello JM, Vargas-López NF. . Challenges in the management of persistent Right ventricular thrombus, A case report. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Aug. 30 [cited 2024 Jul. 3];5(2):50-3. Available from: https://imagenretic.org/RevEcocarPract/article/view/313