Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism
Journal of Cardiovascular Ultrasound
; : 224-227, 2011.
Article
em En
| WPRIM
| ID: wpr-111068
Biblioteca responsável:
WPRO
ABSTRACT
We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no change in the extent of PE and did not support a role of surgical treatment, pulmonary embolectomy was recommended by attending physician based on clinical and echocardiographic hemodynamic findings like unstable vital sign and markedly enlarged right ventricle with severely depressed systolic function. Surgery confirmed the presence of fresh thrombi. After surgery, hemodynamic status was progressively improved, but the patient died due to pneumonia and pulmonary hemorrhage.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pneumonia
/
Embolia Pulmonar
/
Choque Cardiogênico
/
Angiografia
/
Ecocardiografia
/
Embolectomia
/
Emergências
/
Sinais Vitais
/
Ventrículos do Coração
/
Hemodinâmica
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Journal of Cardiovascular Ultrasound
Ano de publicação:
2011
Tipo de documento:
Article