Conclusion
In our patient, we concluded that the presence of a mobile RHT and
high-risk PE would increase the risk of a poor outcome if intravenous
heparin alone was used.
In view of the patient’s age, functional status, and wishes after we
explained the options, we decided to proceed with interventional
treatment instead of cardiac surgery. Our case shows that APT with the
EKOS system is a safe and effective treatment option for high risk PE in
conjunction with massive right-sided cardiac thrombus.
Consent: The authors confirm that written consent for
submission and publication of this case report including images and
associated text has been obtained from the patient in line with COPE
guidance.
Conflict of interest: The authors have no financial or
proprietary interest in the subject matter of this article.