Momento único do Trombo

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http://www.escardio.org/communities/EACVI/CasePortal/Pages/right-atrium-thrombus-in-transit.aspx

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Thrombi-in-transit are free floating right atrial thrombi. Reported in 18% of massive pulmonary embolism (PE) with an in-hospital mortality of more than 45%. Initial diagnosis is usually made by transthoracic echocardiogram. They can break down leading to massive PE or they can cause a paradoxical embolism through a patent foramen ovale. In the absence of randomized trials, treatment remains empiric.  Treatment options include: anticoagulation, thrombolytics or surgical embolectomy.