Successful outcome of medical therapy in a case of acute massive pulmonary thromboembolism presenting with saddle thromboembolus.
Antemortem diagnosis of acute massive pulmonary thromboembolism (PTE) with a large thromboembolus at the bifurcation of the pulmonary trunk (saddle thromboembolus) is difficult, as most patients either die or are too ill for any diagnostic imaging. We report a case of massive PTE where constrast enhanced computed tomographic (CECT) scan of chest detected a saddle thromboembolus and showed its resolution with anticoagulant treatment. In our case, the presenting feature was unusual massive PTE as there was no haemodynamic instability or hypoxaemia.
Gowrinath
K
K
Department of Tuberculosis and Respiratory Diseases, Kasturba Medical College, Manipal, Karnataka, India. drkgowrinath@yahoo.com
Sheshadri
Shubha
S
Sean
T G
TG
D000925:Anticoagulants / Q000627:therapeutic use*; D017984:Enoxaparin / Q000627:therapeutic use; D005268:Femoral Vein; D006801:Humans; D008297:Male; D008875:Middle Aged; D011152:Popliteal Vein; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin