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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1986-9-18
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pubmed:abstractText |
Right atrial (RA) thrombosis is rare. The aim of this study was to determine their clinical and echocardiographic features and therapeutic implications. In the last 7 years, 16 RA masses were detected by 2D echocardiography. The diagnosis of thrombosis was made in 8 cases based on anatomo-pathological examination (6 cases) or their disappearance with medical treatment (2 cases). The clinical presentations were: pulmonary embolism (4 cases), anterior myocardial infarction (2 cases), Ebstein's anomaly (1 case), thrombosis of a Leveen catheter (1 case). Only 1 patient had atrial fibrillation. Two echocardiographic appearances were observed: 1) a long, very mobile thrombus floating between the RA and right ventricle (4 cases), 2) a relatively immobile mass (4 cases). The 4 patients with relatively immobile thrombi survived: 2 underwent surgery and 2 were treated medically. All cases of floating thrombi had pulmonary embolism: 2 patients underwent surgery but the postoperative course was complicated; 2 patients died suddenly before surgery. These cases show that 2D echo is the diagnostic method of choice for detection of RA thrombosis. The floating RA thrombus is a therapeutic emergency and has a poor prognosis.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
79
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
464-71
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pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:3090964-Adult,
pubmed-meshheading:3090964-Aged,
pubmed-meshheading:3090964-Angiography,
pubmed-meshheading:3090964-Diagnosis, Differential,
pubmed-meshheading:3090964-Echocardiography,
pubmed-meshheading:3090964-Emergencies,
pubmed-meshheading:3090964-Female,
pubmed-meshheading:3090964-Heart Atria,
pubmed-meshheading:3090964-Heart Diseases,
pubmed-meshheading:3090964-Humans,
pubmed-meshheading:3090964-Male,
pubmed-meshheading:3090964-Middle Aged,
pubmed-meshheading:3090964-Thrombosis,
pubmed-meshheading:3090964-Time Factors
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pubmed:year |
1986
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pubmed:articleTitle |
[Thromboses of the right atrium: echocardiographic aspects, practical management. Apropos of 8 cases].
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pubmed:publicationType |
Journal Article,
English Abstract
|