|FLOATING THROMBI IN THE HEART - TWO CASES
N. Ružič-Medvešček, D. Latifič-Jasnič, M. Gričar, M. Koželj,
M. Šinkovec and D. Zorman
of Cardiology, University Medical Centre Ljubljana, Ljubljana,
cardiac thrombi are peripheral and pelvic venous clots which on
their way to the lungs, are accidentally lodged in the heart.
They are rare but clinically significant because of the high incidence
of massive pulmonary embolism and high mortality. Two patients,
one with snake-like thrombus in the right atrium and one with
snake-like thrombus in the left atrium stuck in the open foramen
ovale, are presented and discussed. The significance of early
echocardiographic examination in suspicion of pulmonary embolism
is stressed. If there are floating emboli in the heart, emergency
care is required, but there is no clear consensus regarding the
optimal therapeutic approach.