Case Report | Open Access
Volume 2024 - 3 | Article ID 245 | http://dx.doi.org/10.51521/WJCRCI.2024.31-227
Academic Editor: John Bose
Gamze Yildirim1,2, Tina Sieburg1,2, Daniel Duerschmied1,2, Thomas Helbing1,2, Michael
Behnes1,2,
Rawa Arif3,
Goekhan Yuecel1,2,
Ibrahim Akin1,2
1Department of Cardiology, Angiology, Haemostaseology and Medical Intensive Care, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
2European Center
for AngioScience (ECAS)
and German Center
for Cardiovascular Research (DZHK) partner site Heidelberg/Mannheim,
Mannheim, Germany
3Department of Cardiac Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany
Address for Correspondence: Gamze Yildirim, MD, First Department of Medicine University Medical Centre Mannheim Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany; Phone: 00496213832204; E-Mail: Gamze.Yildirim@umm.de
Citation: Gamze Yildirim Tina Sieburg, Daniel Duerschmied, Thomas Helbing, Michael Behnes, Rawa Arif, Goekhan Yuecel, Ibrahim Akin (2024). Percutaneous Removal of an Old Calcified Free-Floating Harmful Thrombus in a Patient with Severe Pulmonary Embolism and at Risk for Surgical Treatment. World J Case Rep Clin Imag. 2024 Mar-Apr;3(1)1-6.
Copyrights © 2024, Gamze Yildirim, et al. This article is licensed under the Creative Commons-Attribution-Non-Commercial-4.0-International-License-(CCBY-NC) (https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and distribution for commercial purposes require written permission.
Abstract:
We present a case of a 53-year-old male patient with
recurrent pulmonary embolism due to a free-floating right atrial thrombus
formation. While thrombolysis was contraindicated due to previous intracranial
hemorrhage, and the patient was at high risk for surgical thrombectomy,
interventional removal using a percutaneous thrombus aspiration system
(AngioVasc) was considered. Despite it’s calcified, free- floating and
vulnerable nature, the thrombus aspiration could be carried out safely and the
patient feels well. This case highlights the complexities associated with
managing high-risk patients with recurrent embolism and the importance of
considering modern interventional approaches in cardiac thrombus removal discussions.
Keywords:
High-risk patient,
Right heart thrombus,
Calcified thrombus, Pulmonary embolism, AngioVac,
Catheter-based intervention.
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