| CASE REPORT |
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| Year : 2010 | Volume
: 11
| Issue : 1 | Page : 16-20 |
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Mobile right heart thrombus with pulmonary embolism in a patient with polycythemia rubra vera and splanchnic vein thrombosis
Prashanth Panduranga1, Mohammed Mukhaini1, Muhammad Saleem1, Taha Al-Delamie2, Sunny Zachariah2, Saqar Al-Taie3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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