Fatal massive and recurring pulmonary embolism followed by thrombocytopenia developed after heparin and warfarin treatment in a patient with metastatic breast cancer with an incidental large right atrial thrombus. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Cho, Young Kyu; Park, Byoung-won; Lee, Min Ho; Hyon, Min Su; Bang, Duk Won; Kim, Yong Jae
• Is Part Of: Blood coagulation and fibrinolysis. Volume 27:Issue 2(2016)
• Publication Date: 2016-03
• Subjects: pulmonary embolism -- right atrium -- thrombocytopenia -- thrombus; Blood -- Coagulation -- Periodicals; Fibrinolysis -- Periodicals; Hemostasis -- Periodicals; Thrombosis -- Periodicals; Blood Coagulation -- Periodicals; Fibrinolysis -- Periodicals; Hemostasis -- Periodicals; Thrombosis -- Periodicals; 612.115
• DOI: 10.1097/MBC.0000000000000401
• Languages: English
• ISSNs: 0957-5235

Abstract

Abstract : A thromboembolic complication such as pulmonary embolism in patients who had cancer and mobile thrombi in the heart is a rare but fatal complication. Surgical thromboembolectomy is considered as the classical treatment of choice. In case of inoperable patient, catheter-directed therapy may be an alternative treatment. We report an interesting case of metastatic breast cancer with a large and mobile right atrial thrombus complicated by a massive and subsequently recurring pulmonary embolism, followed by thrombocytopenia developed after heparin and warfarin treatment.