NYMC Faculty Publications

Review of the Etiology, Diagnosis, Classification, and Therapy of Right Heart Thrombi

Author Type(s)

Faculty

DOI

10.1097/CRD.0000000000000630

Journal Title

Cardiology in Review

First Page

423

Last Page

425

Document Type

Article

Publication Date

9-1-2025

Department

Medicine

Keywords

anticoagulation, pulmonary embolism, right heart thrombi, right ventricular thrombus, surgical embolectomy, thrombolysis

Disciplines

Medicine and Health Sciences

Abstract

Right heart thrombi are a rare phenomenon associated with high mortality rates and embolization to the pulmonary bed. Diagnostic modalities include transthoracic echocardiography, contrast-enhanced echocardiography, and cardiac magnetic resonance imaging. Several treatment options for right ventricular thrombus have been described in case reports and observational studies including anticoagulation, thrombolysis, catheter-based procedures, and surgical embolectomy. Various studies have demonstrated that thrombolysis and surgical embolectomy have better survival outcomes than anticoagulation alone. Present management strategies are supported by observational studies, and further research is needed to guide therapy.

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