Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism.
10.4250/jcu.2011.19.4.224
- Author:
Won Seok CHOE
1
;
Do Yoon KANG
;
Jung Han YOON
;
Min Ho LEE
;
Myung Jin CHA
;
Hyung Kwan KIM
;
Yong Jin KIM
;
Goo Yeong CHO
;
Dae Won SOHN
Author Information
1. Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea. hkkim73@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Computed tomography;
Echocardiography
- MeSH:
Adult;
Angiography;
Echocardiography;
Embolectomy;
Emergencies;
Heart Ventricles;
Hemodynamics;
Hemorrhage;
Humans;
Pneumonia;
Pulmonary Embolism;
Shock, Cardiogenic;
Vital Signs
- From:Journal of Cardiovascular Ultrasound
2011;19(4):224-227
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no change in the extent of PE and did not support a role of surgical treatment, pulmonary embolectomy was recommended by attending physician based on clinical and echocardiographic hemodynamic findings like unstable vital sign and markedly enlarged right ventricle with severely depressed systolic function. Surgery confirmed the presence of fresh thrombi. After surgery, hemodynamic status was progressively improved, but the patient died due to pneumonia and pulmonary hemorrhage.
