[Double conventional doses of streptokinase in a massive pulmonary thromboembolism with a free-floating thrombus in the right atrium].
We present a case of severe thromboembolism, with right ventricular dysfunction, high vasoactive drug requirements, sustained shock and a free-floating thrombus in right atrium. Hemodynamic and clinical picture as well as the echocardiographic image were solved after intravenous infusions of two complete doses of streptokinase, separated by an interval of 72 hours.
Sampó
Eduardo A
EA
División Unidad Coronaria, Hospital de Clínicas José de San Martin, Facultad de Medicina, Universidad de Buenos Aires. esampo@fibertel.com.ar
Ber
Marcos G
MG
Peyregne
Ernesto
E
Martínez Martínez
José A
JA
D000368:Aged; D004562:Electrocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging; D006801:Humans; D011655:Pulmonary Embolism / Q000188:drug therapy*; D012074:Remission Induction; D013300:Streptokinase / Q000008:administration & dosage*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging; D014463:Ultrasonography
D005343:Fibrinolytic Agents; D013300:Streptokinase