Gestion d’une embolie pulmonaire à haut risque avec thrombus mobile du tronc artériel pulmonaire
| Autor: | L Perriollat, J. Monségu, A. Rougé, M. Abdellaoui, B. Faurie |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Ultrasound Thrombolysis 030204 cardiovascular system & hematology medicine.disease Thrombosis Trunk Pulmonary embolism 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine.artery Internal medicine Pulmonary artery cardiovascular system medicine Cardiology cardiovascular diseases Respiratory system Thrombus Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annales de Cardiologie et d'Angéiologie. 66:346-349 |
| ISSN: | 0003-3928 |
| Popis: | The presence of a right intraventricular thrombus is a marker of severity of pulmonary embolism (PE), and is associated with high mortality. We report the case of a young patient with a PE postoperative of patellar tendon surgery. The cardiac echocardiography at its admission revealed a voluminous mobile thrombus of 1.7cm diameter located on the pulmonary trunk. Systemic thrombolysis was performed because of respiratory deterioration allowing a rapid disappearance of the thrombus and recovery. Our case emphasizes the value of a complete ultrasound analysis centered on the pulmonary trunk in the case of intermediate-risk PE. No recommendation exists on the management of these right ventricular thrombi, thrombolysis appearing to be the first-line treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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