[Value of transthoracic Doppler echocardiography in the diagnosis and management of massive pulmonary embolism].
We report the case of a 62-year-old man with massive pulmonary embolism and severe hemodynamic impairment. Transthoracic Doppler echocardiography was fundamental in confirming the diagnosis by direct visualization of intra-atrial thrombus and signs of right chamber overload. It allowed prompt administration of thrombolytic drug and follow-up monitoring. Doppler echocardiography is a non-invasive, available technique and its early application should be considered in the evaluation of patients with suspected massive pulmonary embolism.
Pena
J L
JL
Hospital Felício Rocho, Belo Horizonte.
Pena
H P
HP
Costa
M A
MA
Guimarães
P R
PR
Sad
E F
EF
Moreira
M da C
Mda C
D000368:Aged; D015150:Echocardiography, Doppler / Q000379:methods*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000628:therapy
Valor da ecocardiografia Doppler transtorácica no diagnóstico e conduta em pacientes com embolia pulmonar maciça.