{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:04:45Z","timestamp":1774616685959,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,9]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Right ventricular thrombus (RVT) can be life-threatening, since it has the potential to embolise and cause saddle pulmonary embolism (PE). We present a patient who initially presented with haemodynamically stable PE with evidence of RVT on echocardiogram. She was placed on heparin drip; however, she later developed cardiac arrest and died due to embolisation of RVT to the pulmonary vasculature. Although management of haemodynamically stable PE in patients with RVT is still a matter of debate,\n<jats:sup>1<\/jats:sup>\n given the outcome we suggest that thrombolysis or emergent embolectomy at the presentation, in this case, may have had a favourable outcome.<\/jats:p>","DOI":"10.1136\/bcr-2018-229162","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T07:12:57Z","timestamp":1563952377000},"page":"e229162","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["The dilemma in the management of haemodynamically stable pulmonary embolism with right heart thrombus"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4162-033X","authenticated-orcid":false,"given":"Manoj P","family":"Rai","sequence":"first","affiliation":[{"name":"Internal Medicine, Michigan State University, Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadar","family":"Herzallah","sequence":"additional","affiliation":[{"name":"Internal Medicine, Michigan State University, Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Alratroot","sequence":"additional","affiliation":[{"name":"Internal Medicine, Michigan State University, Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Laird-Fick","sequence":"additional","affiliation":[{"name":"Internal Medicine, Michigan State University, Lansing, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"2025082708071412000_12.7.e229162.1","unstructured":"Ko\u0107 M . 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