Successful Systematic Thrombolytic Therapy for Massive Pulmonary Embolism with Large Floating Right Heart Thrombi.: A Case Report

Abstract

63-year-old woman had hypotension and hypoxemia with syncope and dyspnea. Chest enhanced computed tomography scan and transthoracic echocardiogram revealed massive pulmonary embolism with large floating right heart thrombi. Thrombolytic theraphy was performed, preparing percutaneous cardiopulmonary support(PCPS) for hemodynamic deterioration. Mobile right heart thrombi disappeared 30 minutes after thrombolytic agent administration. Her blood pressure and arterial blood gases improved dramatically 60 minutes after administration, without hemodynamic deterioration. We present a case report of massive pulmonary embolism with large floating right heart thrombus, which was successfully treated with thrombolytic therapy.