Mobile right heart thrombus with pulmonary embolism in a patient with polycythemia rubra vera and splanchnic vein thrombosis

Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent small bowel resection. He developed a large mobile right atrial thrombus and bilateral pulmonary embolism. He also had upper gastrointestinal bleed. His management was complicated and challenging due to multiple risk factors and co-morbid conditions. Thrombolysis was contraindicated and he refused surgical intervention. He was treated with anticoagulation with complete resolution of right atrial thrombus

Surgical management of congenital vascular ring

Vascular ring is not an uncommon congenital anomaly. Since the opening of the cardiothoracic unit at the Royal hospital in December 1987, three children aged 4, 10 and 18 months with this anomaly were encountered. Their symptoms were stridor, recurrent respiratory tract infection and difficulty in swallowing