Detection of massive pulmonary embolus-in-transit by transesophageal echocardiography.
Pulmonary embolus-in-transit represents an important cause of morbidity and mortality in the critically ill patient. Unexplained shock and acute pulmonary hypertension were evaluated with echocardiography. Standard transthoracic echocardiography failed to identify a large embolism-in-transit that was easily visualized by transesophageal imaging. A review of the literature involving emboli-in-transit suggests that early intervention in these patients may be beneficial.
Department of Medicine, University of California, San Diego Medical Center 92103.
J J
JJ
Hunter
K R
KR
Johnson
T G
TG
Karagianes
H C
HC
Dittrich
D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications; D004452:Echocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology