Large Right Ventricular Thrombus

Detalhes bibliográficos
Autor(a) principal: Sousa, Carla
Data de Publicação: 2014
Outros Autores: Almeida, Pedro, Gonçalves, Alexandra, Rodrigues, João, Rangel, Inês, Macedo, Filipe, Maciel, M. Júlia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737
Resumo: 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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spelling Large Right Ventricular ThrombusTrombo Volumoso do Ventrículo DireitoRight 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.A formação de trombos no ventrículo direito corresponde a uma situação rara porém potencialmente fatal. Tem sido descrita em associação a estados de hipercoagulabilidade, doenças autoimunes e cardiopatia dilatada. A ecocardiografia constitui o método de eleição para o diagnóstico e caracterização destas estruturas, permitindo, inclusive, a diferenciação entre os diversos tipos de trombos possíveis. Apresentamos o caso de um doente com miocardiopatia dilatada de etiologia alcoólica que foi admitido por insuficiência cardíaca congestiva e infeção respiratória baixa. Durante a marcha diagnóstica, o ecocardiograma de rotina revelou a presença de um volumoso trombo mural no ventrículo direito, em associação a disfunção sistólica biventricular de grau severo. Foi proposto o início dehipocoagulação oral, estratégia que o doente recusou.Palavras-chave: Cardiomiopatia Alcoólica; Trombose Coronária; Ecocardiografia; Disfunção; Ventricular Direita.Ordem dos Médicos2014-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdftext/htmlimage/jpegimage/jpegvideo/x-ms-wmvvideo/x-ms-wmvvideo/x-ms-wmvapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737oai:ojs.www.actamedicaportuguesa.com:article/4737Acta Médica Portuguesa; Vol. 27 No. 3 (2014): May-June; 390-393Acta Médica Portuguesa; Vol. 27 N.º 3 (2014): Maio-Junho; 390-3931646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/3986https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/5575https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6957https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6958https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6959https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6960https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6961https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/6962https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4737/7292Sousa, CarlaAlmeida, PedroGonçalves, AlexandraRodrigues, JoãoRangel, InêsMacedo, FilipeMaciel, M. Júliainfo:eu-repo/semantics/openAccess2022-12-20T11:03:59Zoai:ojs.www.actamedicaportuguesa.com:article/4737Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:58.197726Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Large Right Ventricular Thrombus
Trombo Volumoso do Ventrículo Direito
title Large Right Ventricular Thrombus
spellingShingle Large Right Ventricular Thrombus
Sousa, Carla
title_short Large Right Ventricular Thrombus
title_full Large Right Ventricular Thrombus
title_fullStr Large Right Ventricular Thrombus
title_full_unstemmed Large Right Ventricular Thrombus
title_sort Large Right Ventricular Thrombus
author Sousa, Carla
author_facet Sousa, Carla
Almeida, Pedro
Gonçalves, Alexandra
Rodrigues, João
Rangel, Inês
Macedo, Filipe
Maciel, M. Júlia
author_role author
author2 Almeida, Pedro
Gonçalves, Alexandra
Rodrigues, João
Rangel, Inês
Macedo, Filipe
Maciel, M. Júlia
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sousa, Carla
Almeida, Pedro
Gonçalves, Alexandra
Rodrigues, João
Rangel, Inês
Macedo, Filipe
Maciel, M. Júlia
description 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.
publishDate 2014
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 27 No. 3 (2014): May-June; 390-393
Acta Médica Portuguesa; Vol. 27 N.º 3 (2014): Maio-Junho; 390-393
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