Right Heart Thrombus in-Transit in Patient with Acute Pulmonary Embolism Treated by Thrombolytic Therapy with Tenectplase

摘要

A thrombus in transit is an uncommon life threatening condition with high morbidity and mortality. Thrombectomy, thrombolytic therapy and anticoagulation are the treatment options in patients with acute pulmonary embolism and thrombus in transit. A 30-year old male presented with acute submassive pulmonary embolism. Echocardiography showed features of acute pulmonary embolism with right ventricular dysfunction and large fresh mobile thrombus in the right ventricular cavity. He was treated by thrombolytic therapy with Tenecteplase. He made an uneventful recovery with normalisation of the ECG, CXR and Echocardiography on subsequent follow up. This case demonstrates the efficacy of thrombolytic therapy in patients with right ventricular thrombus in transit.