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.