Skrzepliny wewnątrzsercowe w zatorowości płucnej a priori niewysokiego ryzyka: dylematy terapeutyczne

Pulmonary embolism (PE) of a priori non high risk according to ESC guidelines, but coexisting with intracardiac thrombi ispotentially a life threatening disease. The recommendations regarding therapy in such situations are not clear. We report twocases of PE with coexisting intracardiac thrombi. The 74 year-old woman was admitted after previous cardiac arrest in thecourse of PE with the presence of intracardiac thrombi in right ventricle. Due to lack of clinical improvement during heparinadministration she was treated with thrombolysis. The 72 year-old obese woman with hypertension, diabetes and previousstroke with right-sided paresis was admitted after 2 episodes of loss of consciousness, with intracardiac thrombus in bothright and left heart. Due to contraindications to both surgery and thrombolysis, she was treated with heparin. Both womenrecovered successfully. These cases illustrate the importance of individual treatment strategy