Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure

Intracardiac thrombi are associated with an increased morbidity and mortality due to their unpredictability and embolic potential. Right heart thrombus is infrequently encountered in clinical practice outside the scenario of acute pulmonary embolism with hemodynamic compromise, and even more uncommo...

Descripción completa

Detalles Bibliográficos
Autores principales: Keeton, James, Gonzalez, Pedro Engel, Cox, Julie, Morlend, Robert M., Amin, Alpesh A., Mammen, Pradeep P. A., Huffman, Lynn C., Araj, Faris G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109588/
https://www.ncbi.nlm.nih.gov/pubmed/32257450
http://dx.doi.org/10.1155/2020/7579262
_version_ 1783512985163005952
author Keeton, James
Gonzalez, Pedro Engel
Cox, Julie
Morlend, Robert M.
Amin, Alpesh A.
Mammen, Pradeep P. A.
Huffman, Lynn C.
Araj, Faris G.
author_facet Keeton, James
Gonzalez, Pedro Engel
Cox, Julie
Morlend, Robert M.
Amin, Alpesh A.
Mammen, Pradeep P. A.
Huffman, Lynn C.
Araj, Faris G.
author_sort Keeton, James
collection PubMed
description Intracardiac thrombi are associated with an increased morbidity and mortality due to their unpredictability and embolic potential. Right heart thrombus is infrequently encountered in clinical practice outside the scenario of acute pulmonary embolism with hemodynamic compromise, and even more uncommon is the presence of a massive right heart thrombus. Embolic potential is high, and historically, management has revolved around open surgical removal or systemic thrombolysis. We hereby present a case of a massive right heart thrombus in a high surgical risk patient, which was successfully removed using a percutaneous aspiration device.
format Online
Article
Text
id pubmed-7109588
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-71095882020-04-06 Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure Keeton, James Gonzalez, Pedro Engel Cox, Julie Morlend, Robert M. Amin, Alpesh A. Mammen, Pradeep P. A. Huffman, Lynn C. Araj, Faris G. Case Rep Cardiol Case Report Intracardiac thrombi are associated with an increased morbidity and mortality due to their unpredictability and embolic potential. Right heart thrombus is infrequently encountered in clinical practice outside the scenario of acute pulmonary embolism with hemodynamic compromise, and even more uncommon is the presence of a massive right heart thrombus. Embolic potential is high, and historically, management has revolved around open surgical removal or systemic thrombolysis. We hereby present a case of a massive right heart thrombus in a high surgical risk patient, which was successfully removed using a percutaneous aspiration device. Hindawi 2020-02-18 /pmc/articles/PMC7109588/ /pubmed/32257450 http://dx.doi.org/10.1155/2020/7579262 Text en Copyright © 2020 James Keeton et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Keeton, James
Gonzalez, Pedro Engel
Cox, Julie
Morlend, Robert M.
Amin, Alpesh A.
Mammen, Pradeep P. A.
Huffman, Lynn C.
Araj, Faris G.
Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title_full Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title_fullStr Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title_full_unstemmed Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title_short Saved by the VAC: Minimally Invasive Removal of a Surely Fatal Right Heart Thrombus in a Patient with Advanced Heart Failure
title_sort saved by the vac: minimally invasive removal of a surely fatal right heart thrombus in a patient with advanced heart failure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109588/
https://www.ncbi.nlm.nih.gov/pubmed/32257450
http://dx.doi.org/10.1155/2020/7579262
work_keys_str_mv AT keetonjames savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT gonzalezpedroengel savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT coxjulie savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT morlendrobertm savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT aminalpesha savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT mammenpradeeppa savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT huffmanlynnc savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure
AT arajfarisg savedbythevacminimallyinvasiveremovalofasurelyfatalrightheartthrombusinapatientwithadvancedheartfailure

Ejemplares similares