CASE OF BIATRIAL THROMBOSIS

A 52-year-old woman, was admitted with the complaint of dyspnea that w as present at rest and lasted a few hours. On bedside echocardiography , multiple small thrombus formations were detected in the right atrium under the tricuspid valve. Similar thrombus formation was detected in the left atrium. The lung perfusion scintigraphy indicated pulmonary embolism. Recombinant tissue plasminogen activator was started via int ravenous infusion; after a dose of 60 mg, speech disturbance was obser ved, so thrombolytic therapy was terminated. The patient's speech prob lem subsided spontaneously. The dyspnea improved dramatically. Repeate d bedside echocardiographic examination revealed the thrombi in, both atria had disappeared.