Multiplane transesophageal echocardiography to detect effectiveness of selective pulmonary recombinant tissue-type plasminogen activator thrombolysis in pulmonary embolism and patent foramen ovale
| Autor: | Paolo Colonna, M. G. Biasco, Michele Dambrosio, Cataldo Memmola, Paolo Rizzon, Massimiliano Conte, Nicola Brienza |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Cardiac output
medicine.medical_specialty medicine.medical_treatment Hemodynamics Heart Septal Defects Atrial Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Thrombolytic Therapy business.industry Thrombolysis Middle Aged medicine.disease Recombinant Proteins Pulmonary embolism Embolism Tissue Plasminogen Activator Patent foramen ovale Cardiology Female Radiology Cardiology and Cardiovascular Medicine business Pulmonary Embolism Plasminogen activator Shunt (electrical) Echocardiography Transesophageal |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0894-7317 |
| Popis: | A functionally patent foramen ovale can create a relevant right-to-left shunt during massive pulmonary embolism. This associated feature, although maintaining adequate cardiac output, may explain both the paradoxic embolism and the uneffectiveness of peripherally administered drugs. This case demonstrates the potential of transesophageal echocardiography in monitoring the hemodynamic findings of such patients and, consequently, the effectiveness of thrombolytic treatment. (J Am Soc Echocardiogr 1997;10:384-8.) |
| Databáze: | OpenAIRE |
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