title: [Value of transthoracic Doppler echocardiography in the diagnosis and management of massive pulmonary embolism].
abstract: 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.
authors.affiliation: Hospital Felício Rocho, Belo Horizonte.
authors.forename: J L
authors.initials: JL
authors.lastname: Pena
authors.forename: H P
authors.initials: HP
authors.lastname: Pena
authors.forename: M A
authors.initials: MA
authors.lastname: Costa
authors.forename: P R
authors.initials: PR
authors.lastname: Guimarães
authors.forename: E F
authors.initials: EF
authors.lastname: Sad
authors.forename: M da C
authors.initials: Mda C
authors.lastname: Moreira
mesh_terms: D000368:Aged; D015150:Echocardiography, Doppler / Q000379:methods*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000628:therapy
vernacular_title: Valor da ecocardiografia Doppler transtorácica no diagnóstico e conduta em pacientes com embolia pulmonar maciça.