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CASE REPORT
Year : 2010  |  Volume : 11  |  Issue : 1  |  Page : 16-20

Mobile right heart thrombus with pulmonary embolism in a patient with polycythemia rubra vera and splanchnic vein thrombosis


1 Department of Cardiology, Royal Hospital, Muscat, Oman
2 Department of Cardiothoracic surgery, Royal Hospital, Muscat, Oman
3 Department of Radiology, Royal Hospital, Muscat, Oman

Correspondence Address:
Prashanth Panduranga
Department of Cardiology, Royal Hospital, Post Box 1331, Muscat-111
Oman
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Source of Support: None, Conflict of Interest: None


PMID: 21042459

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Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent small bowel resection. He developed a large mobile right atrial thrombus and bilateral pulmonary embolism. He also had upper gastrointestinal bleed. His management was complicated and challenging due to multiple risk factors and co-morbid conditions. Thrombolysis was contraindicated and he refused surgical intervention. He was treated with anticoagulation with complete resolution of right atrial thrombus.


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