EC Pulmonology and Respiratory Medicine

Point of care ultrasound POCUS of the lungs, also known as lung ultrasound and heart LUS, has emerged as simple, non-invasive, and real time technique that allows for many cardio-respiratory pathologies [7].

Its advantages include being radiation-free, portable and relatively easy to perform at the bedside, enhancing its utility in various clinical settings.

One of the most severe a complication is a pulmonary embolism, a condition where a blood clot blocks an artery in the lung.

Pulmonary embolism typically occurs during or shortly after the labor and delivery, and may be fatal for the mother if not treated immediately [5].

Free-floating right heart thrombus is a rare phenomenon in the context of acute pulmonary embolism and it is associated with poor outcome.

The prevalence of RHT in the setting of acute pulmonary embolism is 4% - 18% [2].

The increased use of echocardiography has led to an increased detection of right heart thrombi.

However, optimal management of free-floating right heart thrombus remains controversial with no clear consensus.

We present the case of a 33-year-old women 4 weeks postpartum. “Caesarean” who presented to the emergency in city medicine clinic with acute onset dyspnea.

A computed tomography of the chest demonstrated a pulmonary embolism.

A bedside transthoracic echocardiography performed showed a moderately dilated, poorly functioning right ventricle with visible highly atrial mobile thrombus [2].

Anti-coagulation therapy was immediately initiated which resulted in excellent result [3].

 Keywords: LUS; POCUS; Pulmonary Embolism; Free-Floating Atrial Thrombus; Anti-Coagulation Therapy

1. Cheriet Nabil Medical practice records of pulmonology. Abdelkader and Yasmina Clinic Biskra Algeria.
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