[Prophylactic use of the LGM filter in a patient with a recurrent clinically acute massive pulmonary embolism complicated by pericarditis--case report].
Case of recurrent, clinically acute massive pulmonary embolism treated with rtPA (administered 0.6 mg/kg, during 10 minutes simultaneously with heparin) is presented. Minimal clinical improvement was observed after mentioned procedure. Good clinical response was achieved after LGM filter insertion into vena cava inferior. Clinical course was complicated by Dressler-like syndrome successfully treated with steroids. Problems of massive pulmonary embolism, vena cava filter prophylaxis and pericardial complication of pulmonary embolism are discussed.
Kliniki Chorób Wewnetrznych Instytutu Gruźlicy i Chorób, Warszawie.
B
B
Borowiec
W
W
Tomkowski
B
B
Hajduk
A
A
Fijałkowska
S
S
Filipecki
D000328:Adult; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000209:etiology; D011655:Pulmonary Embolism / Q000150:complications / Q000628:therapy*; D012008:Recurrence; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D016306:Vena Cava Filters
D006493:Heparin; D010959:Tissue Plasminogen Activator
Profilaktyczne zastosowanie filtru LGM u chorego w nawracajaa klinicznie masywna zatorowościa płucna powikłana zapaleniem osierdzia--opis przypadku.