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Superior Vena Cava Thrombosis and Pulmonary Embolus: Association With Right Atrial Mural Thrombus

Superior Vena Cava Thrombosis and Pulmonary Embolus: Association With Right Atrial Mural Thrombus Abstract • This is the first case report to our knowledge of superior vena cava syndrome and lethal, massive pulmonary embolus associated with a noniatrogenic right atrial mural thrombus. In situ, superior vena cava thrombosis was demonstrated by technetium Tc 99m nucleotide mediastinal flow scan and superior vena cava venography. Necropsy confirmed in situ superior vena cava thrombosis as well as trichamber mural thrombi and a massive pulmonary embolus. Intravenous streptokinase therapy for superior vena cava thrombosis was unsuccessful. (Arch Internal Med 1982;142:1726-1728) References 1. Hunter W: The history of an aneurysm of the aorta with some remarks on aneurysm in general. Med Ops Soc Phys 1757;1:322. 2. Lokich JJ, Goodman R: Superior vena cava syndrome. JAMA 1975;231:58-61.Crossref 3. Parish JM, Maeschke RF, Dines DE, et al: Etiologic considerations in superior vena cava syndrome. Mayo Clin Proc 1981;56:407-413. 4. Schrautnagel DE, Hill R, Leech JH, et al: Superior vena cava obstruction: Is it a medical emergency? Am J Med 1981;70:1169-1174.Crossref 5. Garvin CF: Mural thrombi in the heart. Am Heart J 1941;21:713-720.Crossref 6. Burns A, cited by Harvey EA, Levine SA: A study of uninfected mural thrombus of the heart. Am J Med Sci 1930;180:365-372.Crossref 7. Bell WR, Meek AG: Guidelines for the use of thrombolytic agents. N Engl J Med 1979;301:1266-1270.Crossref 8. Marder VJ: The use of thrombolytic agents: Choice of patient, drug administration, laboratory monitoring. Ann Intern Med 1979;90:802-808.Crossref 9. Moses KM: Pulmonary embolism. Am Rev Respir Med 1977;115:829-852. 10. Zimmerman LM, Miller D, Marshall AN: Pulmonary embolism: Its incidence, significance and relation to antecedent vein disease. Surg Gynecol Obstet 1949;88:373-388. 11. Formolo JM, Giraldo A, Short CM: Fatal pulmonary embolism from massive right atrial thrombus post coronary artery bypass surgery. Ann Heart J 1981;101:510.Crossref 12. Kinney EL, Allen RP, Widener WA, et al: Recurrent pulmonary emboli secondary to right atrial thrombus around a permanent pacing catheter. Pace 1979;2:196-202.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Superior Vena Cava Thrombosis and Pulmonary Embolus: Association With Right Atrial Mural Thrombus

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340220154026
Publisher site
See Article on Publisher Site

Abstract

Abstract • This is the first case report to our knowledge of superior vena cava syndrome and lethal, massive pulmonary embolus associated with a noniatrogenic right atrial mural thrombus. In situ, superior vena cava thrombosis was demonstrated by technetium Tc 99m nucleotide mediastinal flow scan and superior vena cava venography. Necropsy confirmed in situ superior vena cava thrombosis as well as trichamber mural thrombi and a massive pulmonary embolus. Intravenous streptokinase therapy for superior vena cava thrombosis was unsuccessful. (Arch Internal Med 1982;142:1726-1728) References 1. Hunter W: The history of an aneurysm of the aorta with some remarks on aneurysm in general. Med Ops Soc Phys 1757;1:322. 2. Lokich JJ, Goodman R: Superior vena cava syndrome. JAMA 1975;231:58-61.Crossref 3. Parish JM, Maeschke RF, Dines DE, et al: Etiologic considerations in superior vena cava syndrome. Mayo Clin Proc 1981;56:407-413. 4. Schrautnagel DE, Hill R, Leech JH, et al: Superior vena cava obstruction: Is it a medical emergency? Am J Med 1981;70:1169-1174.Crossref 5. Garvin CF: Mural thrombi in the heart. Am Heart J 1941;21:713-720.Crossref 6. Burns A, cited by Harvey EA, Levine SA: A study of uninfected mural thrombus of the heart. Am J Med Sci 1930;180:365-372.Crossref 7. Bell WR, Meek AG: Guidelines for the use of thrombolytic agents. N Engl J Med 1979;301:1266-1270.Crossref 8. Marder VJ: The use of thrombolytic agents: Choice of patient, drug administration, laboratory monitoring. Ann Intern Med 1979;90:802-808.Crossref 9. Moses KM: Pulmonary embolism. Am Rev Respir Med 1977;115:829-852. 10. Zimmerman LM, Miller D, Marshall AN: Pulmonary embolism: Its incidence, significance and relation to antecedent vein disease. Surg Gynecol Obstet 1949;88:373-388. 11. Formolo JM, Giraldo A, Short CM: Fatal pulmonary embolism from massive right atrial thrombus post coronary artery bypass surgery. Ann Heart J 1981;101:510.Crossref 12. Kinney EL, Allen RP, Widener WA, et al: Recurrent pulmonary emboli secondary to right atrial thrombus around a permanent pacing catheter. Pace 1979;2:196-202.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1982

References