Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases

A. Singh, S. A. Fein, J. Sacco, E. M. Wright, Kevin J. Ferrick, J. T. Doyle, T. L. Biddle

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Echocardiographic detection of right intracavitary thrombosis has been frequently described in recent years. Little is known of the natural history of this condition making therapeutic interventions difficult to assess. The case reports of 56 patients (including 5 from our institution) were reviewed. Thrombus was frequently located in the right atrium, the majority of which were highly mobile. The latter often occurred in association with deep venous thrombosis and pulmonary emboli. Almost 30% of mobile thrombus spontaneously embolized soon after detection. Nonmobile thrombus, by contrast, occurred in the setting of impaired contraction of the right heart chambers and was relatively stable. Surgical removal of mobile thrombus was associated with a lower mortality than patients treated medically. Prospective echocardiographic evaluation of patients at increased risk for right intracavitary thrombus is necessary for more definitive evaluation of the incidence, natural history and results of therapeutic intervention.

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalAmerican Journal of Noninvasive Cardiology
Volume2
Issue number1-2
StatePublished - 1988
Externally publishedYes

Fingerprint

Thrombosis
Natural History
Therapeutics
Embolism
Heart Atria
Venous Thrombosis
Lung
Mortality
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Singh, A., Fein, S. A., Sacco, J., Wright, E. M., Ferrick, K. J., Doyle, J. T., & Biddle, T. L. (1988). Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases. American Journal of Noninvasive Cardiology, 2(1-2), 41-47.

Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases. / Singh, A.; Fein, S. A.; Sacco, J.; Wright, E. M.; Ferrick, Kevin J.; Doyle, J. T.; Biddle, T. L.

In: American Journal of Noninvasive Cardiology, Vol. 2, No. 1-2, 1988, p. 41-47.

Research output: Contribution to journalArticle

Singh, A, Fein, SA, Sacco, J, Wright, EM, Ferrick, KJ, Doyle, JT & Biddle, TL 1988, 'Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases', American Journal of Noninvasive Cardiology, vol. 2, no. 1-2, pp. 41-47.
Singh, A. ; Fein, S. A. ; Sacco, J. ; Wright, E. M. ; Ferrick, Kevin J. ; Doyle, J. T. ; Biddle, T. L. / Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases. In: American Journal of Noninvasive Cardiology. 1988 ; Vol. 2, No. 1-2. pp. 41-47.
@article{203f4bf16df148bb82618e70fb97999b,
title = "Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases",
abstract = "Echocardiographic detection of right intracavitary thrombosis has been frequently described in recent years. Little is known of the natural history of this condition making therapeutic interventions difficult to assess. The case reports of 56 patients (including 5 from our institution) were reviewed. Thrombus was frequently located in the right atrium, the majority of which were highly mobile. The latter often occurred in association with deep venous thrombosis and pulmonary emboli. Almost 30{\%} of mobile thrombus spontaneously embolized soon after detection. Nonmobile thrombus, by contrast, occurred in the setting of impaired contraction of the right heart chambers and was relatively stable. Surgical removal of mobile thrombus was associated with a lower mortality than patients treated medically. Prospective echocardiographic evaluation of patients at increased risk for right intracavitary thrombus is necessary for more definitive evaluation of the incidence, natural history and results of therapeutic intervention.",
author = "A. Singh and Fein, {S. A.} and J. Sacco and Wright, {E. M.} and Ferrick, {Kevin J.} and Doyle, {J. T.} and Biddle, {T. L.}",
year = "1988",
language = "English (US)",
volume = "2",
pages = "41--47",
journal = "American Journal of Noninvasive Cardiology",
issn = "0258-4425",
number = "1-2",

}

TY - JOUR

T1 - Echocardiographic detection and treatment of right intracavitary thrombosis - A review of 56 cases

AU - Singh, A.

AU - Fein, S. A.

AU - Sacco, J.

AU - Wright, E. M.

AU - Ferrick, Kevin J.

AU - Doyle, J. T.

AU - Biddle, T. L.

PY - 1988

Y1 - 1988

N2 - Echocardiographic detection of right intracavitary thrombosis has been frequently described in recent years. Little is known of the natural history of this condition making therapeutic interventions difficult to assess. The case reports of 56 patients (including 5 from our institution) were reviewed. Thrombus was frequently located in the right atrium, the majority of which were highly mobile. The latter often occurred in association with deep venous thrombosis and pulmonary emboli. Almost 30% of mobile thrombus spontaneously embolized soon after detection. Nonmobile thrombus, by contrast, occurred in the setting of impaired contraction of the right heart chambers and was relatively stable. Surgical removal of mobile thrombus was associated with a lower mortality than patients treated medically. Prospective echocardiographic evaluation of patients at increased risk for right intracavitary thrombus is necessary for more definitive evaluation of the incidence, natural history and results of therapeutic intervention.

AB - Echocardiographic detection of right intracavitary thrombosis has been frequently described in recent years. Little is known of the natural history of this condition making therapeutic interventions difficult to assess. The case reports of 56 patients (including 5 from our institution) were reviewed. Thrombus was frequently located in the right atrium, the majority of which were highly mobile. The latter often occurred in association with deep venous thrombosis and pulmonary emboli. Almost 30% of mobile thrombus spontaneously embolized soon after detection. Nonmobile thrombus, by contrast, occurred in the setting of impaired contraction of the right heart chambers and was relatively stable. Surgical removal of mobile thrombus was associated with a lower mortality than patients treated medically. Prospective echocardiographic evaluation of patients at increased risk for right intracavitary thrombus is necessary for more definitive evaluation of the incidence, natural history and results of therapeutic intervention.

UR - http://www.scopus.com/inward/record.url?scp=0023732856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023732856&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0023732856

VL - 2

SP - 41

EP - 47

JO - American Journal of Noninvasive Cardiology

JF - American Journal of Noninvasive Cardiology

SN - 0258-4425

IS - 1-2

ER -