The diagnosis of a pulmonary artery thrombus by transesophageal echocardiography.
We describe a patient with an acute inferior wall myocardial infarction who underwent percutaneous coronary angioplasty. He subsequently had a cardiac arrest and developed progressive severe hypoxia. Although findings from pulmonary angiography were nondiagnostic, transesophageal echocardiography demonstrated a nonocclusive, right pulmonary artery thrombus. Therapy was changed, and the patient recovered. Transesophageal echocardiography was also used to monitor anticoagulation therapy.
Cerel
A
A
Division of Cardiology, New England Deaconess Hospital, Harvard Medical School, Boston 02215.
Burger
A J
AJ
D000368:Aged; D003131:Combined Modality Therapy; D004452:Echocardiography; D004947:Esophagus; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging; D014859:Warfarin / Q000627:therapeutic use
D014859:Warfarin; D006493:Heparin