Document Detail

Floating pulmonary embolus: unusual cause of recurrent syncope.
MedLine Citation:
PMID:  6479188     Owner:  NLM     Status:  MEDLINE    
A 69-year old woman was admitted because of recurrent syncopal episodes. In hospital, she had repeated attacks of near fainting or syncope when she was turned into the left decubitus position. Continuous arterial pressure monitoring revealed that severe hypotension initiated these events. Secondarily, the heart rate dropped markedly. The symptoms quickly reversed when the patient was turned back into the supine or right decubitus position. Angiography revealed a large, riding and partly floating pulmonary embolus that obstructed the pulmonary circulation to a variable degree, apparently influenced by the patient's body position. During subsequent emergency surgery the angiographic findings were confirmed. It appears that the severe hypotensive episodes were caused by intermittent high degree obstruction of the pulmonary circulation by the floating pulmonary embolus, a mechanism that, to our knowledge, has not previously been described as a cause of recurrent syncope.
U Busch; U Renner; A Wirtzfeld; H Sebening; G Klein; S Hagl
Related Documents :
2351218 - A simple technique for thromboembolectomy of the upper limb.
19387708 - Ct features of pulmonary artery sarcoma: critical aid to a challenging diagnosis.
1260848 - Percutaneous catheter emboli: sources and prevention.
463928 - Fever and pulmonary thromboembolism.
8672968 - Arteriocholedochal fistula: an unusual cause of hemobilia.
17154428 - Fatal ischemic stroke related to nonpermissive peripheral artery access for percutaneou...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  5     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1984 Jul 
Date Detail:
Created Date:  1984-11-05     Completed Date:  1984-11-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  602-5     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hypotension, Orthostatic / etiology
Pulmonary Embolism / complications*,  radiography,  surgery
Syncope / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Flail tricuspid leaflet in childhood--a possible cause of supraventricular tachycardia.
Next Document:  Myocardial infarct size: correlation with cardiac arrhythmias and sudden death.