A Free-Floating Right Atrial Thrombus: Playing a Squash Match with Badminton Equipment. An Old Problem Managed by a New Technique.

[摘要] A large, unattached right atrial thrombus was accidentally detected in a 29 year old man with pneumonia and history of surgically corrected congenital heart disease. As surgery was not feasible, improvised management is described consisting of a combination of catheter-based extraction and mechanical fragmentation with local thrombolysis requiring temporary right atrial filter insertion. This was accomplished using a newly developed multipurpose wire-mesh basket resembling a badminton shuttle-cock. The above procedure was successful: the thrombus problem was solved within 24 hours. The procedure was steered by echocardiography and fluoroscopy.

[学科分类] 心脏病和心血管学

[关键词] atrialer Filter;Extraktion;Fragmentierung;intraatrialer Thrombus;Thrombolyse;atrial filter;extraction;fragmentation;intra-atrial thrombus;thrombolysis