| Thrombolytic Therapy in a Patient With Suspected Pulmonary Embolism and a Negative CTPA. An Unsuspected Outcome. | |
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MedLine Citation:
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PMID: 21255493 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Urvashi Vaid; Michael Baram; Paul E Marik |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-21 |
Journal Detail:
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Title: Respiratory care Volume: - ISSN: 0020-1324 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-1-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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