Treatment of mobile right heart thrombi with low-molecular-weight heparin

Abstract

Treatment of choice in patients with mobile thrombi in the right heart chambers is still controversial owing to the increased risk of recurrent pulmonary embolism (PE). Thrombolysis and surgical or catheter embolectomy are the preferred options. We present a case of an elderly patient with PE and free-floating atrial thrombi who was treated successfully with low-molecular-weight heparin (LMWH). Copyright 2013 BMJ Publishing Group. All rights reserved.