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Concurrent Coronary Thromboembolism and Pulmonary Thromboembolism without Right-to-Left Shunt / 대한내과학회지
Korean Journal of Medicine ; : 496-501, 2011.
Artigo em Coreano | WPRIM | ID: wpr-164065
ABSTRACT
A 65-year-old woman was referred for management of chest pain and ST segment elevation on electrocardiography. Emergency coronary angiography revealed a well demarcated thrombus that near totally occluded the mid portion of the left anterior descending artery, with a Thrombolysis In Myocardial Infarction (TIMI) flow grade 1, and a fusiform aneurysm on the left main coronary artery. No significant stenosis was observed after aspiration of the thrombus; however, complete coronary reperfusion by urgent aspiration did not improve her dyspnea and tachypnea. Echocardiography revealed a D-shaped left ventricle; thus, we performed a chest computed tomography scan and diagnosed a pulmonary embolism. The patient's coagulation studies were normal. She was prescribed chronic anticoagulation, and we carried out transthoracic echocardiography using second harmonic imaging with agitated saline. Second harmonic imaging with the Valsalva maneuver revealed no right-to-left shunt. We report here a case of concurrent coronary embolism and pulmonary embolism without right-to-left shunt.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Embolia Pulmonar / Tórax / Tromboembolia / Trombose / Dor no Peito / Aneurisma Coronário / Ecocardiografia / Reperfusão Miocárdica / Manobra de Valsalva Limite: Idoso / Feminino / Humanos Idioma: Coreano Revista: Korean Journal of Medicine Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Embolia Pulmonar / Tórax / Tromboembolia / Trombose / Dor no Peito / Aneurisma Coronário / Ecocardiografia / Reperfusão Miocárdica / Manobra de Valsalva Limite: Idoso / Feminino / Humanos Idioma: Coreano Revista: Korean Journal of Medicine Ano de publicação: 2011 Tipo de documento: Artigo