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Chest, Vol 84, 296-299, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Intracavitary thrombi in the right heart associated with multiple pulmonary emboli. Report of two patients

P Ouyang, EJ Camara, A Jain, PS Richman and EP Shapiro

Two-dimensional echocardiography identified intracavitary masses in the right heart in two patients presenting with extensive pulmonary embolism. In one, a right ventricular mass was identified which was confirmed at subsequent autopsy to be an organizing thromboembolus. In the second patient, a right atrial mass was identified; it disappeared with thrombolytic therapy which was accompanied by clinical improvement. We demonstrate that intracardiac thrombi associated with pulmonary embolism may be identified noninvasively by two-dimensional echocardiography. We suggest the presence of thrombi may represent a large intravascular thrombus. This recognition may influence therapeutic decisions.


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Copyright © 1983 by the American College of Chest Physicians.