Two-dimensional echocardiographic detection of right-sided cardiac intracavitary thromboembolus with pulmonary embolism

Hugo E. Saner, Richard W. Asinger, James A. Daniel, K. Joseph Elsperger

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46 Scopus citations


Five patients with pulmonary embolism, in whom rightsided intracardiac thromboembolus was detected by echocardiography and confirmed by either angiography, surgery or postmortem examination, are described. One of these patients died from massive pulmonary embolism after right heart catheterization. In two patients treated medically, either partial or total lysis of the thromboembolus was demonstrated echocardiographically; in another two patients, the right atrial thromboembolus was successfully removed surgically. Typical locations and echocardiographic characteristics of right-sided throm-boemboli are described. The potential usefulness of two-dimensional echocardiography in both the diagnosis and the management of patients with right-sided intracardiac thromboembolism is discussed.

Original languageEnglish (US)
Pages (from-to)1294-1301
Number of pages8
JournalJournal of the American College of Cardiology
Issue number6
StatePublished - 1984
Externally publishedYes

Bibliographical note

Funding Information:
From the Cardiology Section and the Department of Medicine, Hennepin County Medical Center and the Cardiology Section, AbbottNorthwestern Hospitals, Minneapolis, Minnesota. Dr. Saner is supported by a grant from the Swiss Academy of Medical Sciences, Olten, Switzerland. Manuscript received January 23, 1984; revised manuscript received July 30, 1984, accepted August 22, 1984. Address for reprints: Richard Asinger, MD, Cardiology Section, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, Min nesota 55415.


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