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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1998 Ottobre;39(5):689-90

lingua: Inglese

Right ­atrial ­thrombus in a ­patient with ­stage IV car­ci­noma of the ­lung: is the sur­gical treat­ment the cor­rect ­choice?

Sabharwal P., Ruggles S., Gharagozloo

From the Depart­ment of Sur­gery George­town Uni­ver­sity Med­ical ­Center Wash­ington, D.C., USA


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Thrombus in the ­right ­atrium or ven­tricle is ­rare and car­ries a mor­tality ­rate of 40%. ­Death fre­quently ­occurs ­when the ­thrombus ­moves ­toward the pul­mo­nary ­arteries. Emer­gent treat­ment is there­fore ­required. How­ever ­there is no ­clear con­sensus ­regarding ther­a­peutic man­age­ment. We ­present ­here a ­patient ­with ­right ­atrial ­thrombus who under­went sur­gical explo­ra­tion of the ­right ­atrium and suc­cessful throm­bec­tomy.

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