Document Detail


Thrombolytic Therapy in a Patient With Suspected Pulmonary Embolism and a Negative CTPA. An Unsuspected Outcome.
MedLine Citation:
PMID:  21255493     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report a case of a 62-year-old male who presented to our intensive care unit with hypoxemia six hours after retinal surgery. He had a negative computed tomography pulmonary angiogram (CTPA) but an echocardiogram done emergently revealed McConnell's sign. He was thrombolysed and had rapid improvement in oxygenation and hemodynamics. Thrombolysis in hemodynamically unstable pulmonary embolism (PE) is not controversial, but most algorithms require confirmation of the diagnosis. Our patient had a negative CTPA but was thrombolysed based on the clinical picture. Autopsy confirmed the diagnosis of multiple pulmonary emboli and unexpectedly discovered a patent foramen ovale (PFO) that explained paradoxical embolism to the brain.
Authors:
Urvashi Vaid; Michael Baram; Paul E Marik
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-21
Journal Detail:
Title:  Respiratory care     Volume:  -     ISSN:  0020-1324     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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