| Asymptomatic saddle pulmonary embolism: case report and literature review. | |
| | |
MedLine Citation:
|
PMID: 20308228 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Saddle pulmonary embolism is defined as a visible thromboembolus straddling the bifurcation of the main pulmonary artery trunk. Patient with saddle pulmonary embolism have a 2-week mortality of 5.8%. 46 years old, hypertensive male, presented with right leg swelling and pain, with no evidence of cardiopulmonary distress. CTA showed a large saddle pulmonary embolus. Doppler ultrasound of right lower extremity, revealed a large filling defect extending from the common femoral vein distally involving the deep femoral vein, femoral vein and popliteal vein on the right. Diagnosis of saddle embolus on its own is not associated with an unfavorable outcome, therefore should not influence management of PE. Echocardiography done within 48hours in-patient with symptomatic saddle pulmonary embolism reveals mild to moderate right ventricular enlargement in 90% and mild to severe right ventricular dysfunction in 80%. Emerging evidence suggest that primary therapy with thrombolytics and embolectomy, should be used in PE patients who presents with hypotension plus moderate to severe right ventricular dysfunction on echo cardiogram. Patients with saddle pulmonary embolism can have normal cardiopulmonary reserve; these patients can be managed with conventional treatment for pulmonary embolism in hospital settings, in order to deal with any complications developed during management. Aggressive management should be reserved for patients who are hemodynamically unstable as well as those with echocardiographic evidence of severe right ventricular strain. Physicians should decrease their threshold for suspicion of pulmonary embolism in patients with deep venous thrombosis in the hope of revealing more and more hidden cases of pulmonary embolism. |
| | |
Authors:
|
Muzammil H Musani |
Related Documents
:
|
14744268 - False-positive sputum cytology in a case of pulmonary infarction. 18700608 - Left ventricular myocardial injury and syncope due to pulmonary embolism in a soldier: ... 1130138 - Results of treatment of experimental pulmonary embolism, as determined by radioactive m... 20079168 - Ct angiography of pulmonary embolism using a 64 slice multi-detector scanner. 726958 - Cerebral revascularization. 7833188 - A comparison of early mortality and morbidity after single and bilateral internal mamma... |
Publication Detail:
|
Type: Journal Article Date: 2010-03-22 |
Journal Detail:
|
Title: Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis Volume: 17 ISSN: 1938-2723 ISO Abbreviation: Clin. Appl. Thromb. Hemost. Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-09-12 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9508125 Medline TA: Clin Appl Thromb Hemost Country: United States |
Other Details:
|
Languages: eng Pagination: 337-9 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine, St. Joseph Mercy Oakland, Pontiac, MI, USA. musanim@trinity-health.org. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hyperthyroidism and venous thrombosis: a casual or causal association? A systematic literature revie...
Next Document: Prothrombin complex concentrate such as therapy and prophylaxis in factor x-deficient patient (friul...