To Lyse or Not: The Role of Half-Dose Thrombolysis in Right Ventricular Clot Associated With Sub-Massive Pulmonary Embolism.

Right heart thrombi are rare but carry a high mortality risk. Appropriate therapy remains unclear; options include anticoagulation, thrombolysis, and surgical thrombectomy. In this case, a 43-year-old male with DVT, RV thrombus, and bilateral pulmonary embolism responded well to half-dose thrombolytic therapy, with complete thrombus resolution and no complications.