Department of Gastroenterology, Southend Hospital, Westcliff-on-Sea, Essex, United Kingdom
 Case Report   
								
																Thrombus in Transit: A Case Report of Right Ventricular
Thrombus with Massive Pulmonary Embolism and Right Ventricular
Strain 
																Author(s): Zahid Ullah Khan*             
								
																
						 We present a case of 72 year old patient who presented with chest pain, shortness of breath (sob) for 2 days and 3 episodes of collapses with loss 
  of consciousness (LOC). His past medical history includes Prostate carcinoma, hypercholesterolaemia and he had AstraZeneca covid vaccines 6 
  months ago. He was haemodynamically stable and had urgent Computerized Tomography Pulmonary Angiography (CTPA), confirming bilateral 
  pulmonary embolism with evidence of right heart strain. His clinical examination was unremarkable apart from dyspnoea. He was commenced 
  on twice daily treatment dose Clexane and was not thrombolysed in view of haemodynamic stability. He had urgent bedside echocardiogram 
  confirming right ventricular thrombus with associated right heart strain, with no evidence of Patent Foramen Ovale (PFO). Electrocardiogram 
  (ECG) showed right bundle branch block (RB.. Read More»
						  
																DOI:
								10.4172/2165-7920.10001493															  
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