Large Right Ventricular Thrombus

Authors

  • Carla Sousa Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • Pedro Almeida Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • Alexandra Gonçalves Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • João Rodrigues Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • Inês Rangel Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • Filipe Macedo Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
  • M. Júlia Maciel Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

DOI:

https://doi.org/10.20344/amp.4737

Abstract

Right ventricular thrombosis is a rare yet potentially fatal condition. It has been described in association with hypercoagulability states, autoimmune diseases and dilated cardiomyopathy. Echocardiography constitutes the election tool for diagnosis and characterization of these entities, allowing for the differentiation between the various types of thrombi. We present a case of a patient with alcoholic dilated cardiomyopathy admitted for congestive heart failure and lower respiratory infection. In the diagnostic approach, a routine echocardiography revealed a large mural right ventricular thrombus in association with severe biventricular dysfunction. The patient was proposed for anticoagulation strategy, which he refused.
Keywords: Cardiomyopathy, Alcoholic; Embolism; Coronary Thrombosis; Echocardiography; Ventricular Dysfunction, Right.

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Author Biographies

Carla Sousa, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

Pedro Almeida, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

Alexandra Gonçalves, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

João Rodrigues, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

Inês Rangel, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

Filipe Macedo, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

M. Júlia Maciel, Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.

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Published

2014-06-30

How to Cite

1.
Sousa C, Almeida P, Gonçalves A, Rodrigues J, Rangel I, Macedo F, Maciel MJ. Large Right Ventricular Thrombus. Acta Med Port [Internet]. 2014 Jun. 30 [cited 2024 Nov. 4];27(3):390-3. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/4737

Issue

Section

Case Report