title: [Massive pulmonary embolism treated successfully with embolectomy following failed thrombolysis--the role of repeated spiral computerised tomography and echocardiography--a case report].
abstract: A case of a 29-year-old male with massive pulmonary embolism is presented. The diagnosis was confirmed by spiral computerised tomography and echocardiography. The patient received streptokinase, but he continued to be in cardiogenic shock without any improvement. Repeated tomography and echocardiography revealed progression of pulmonary embolism. The patient was transferred to a cardiosurgical department where successful embolectomy was performed.
authors.affiliation: Szpial Specjalistyczny im. H. Klimontowicza, ul. Wegierska 21, Gorlice. kukla_piotr@poczta.onet.pl
authors.forename: Piotr
authors.initials: P
authors.lastname: Kukla
authors.forename: Barbara
authors.initials: B
authors.lastname: Malarczyk-Zaher
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Szczuka
authors.forename: Bogusław
authors.initials: B
authors.lastname: Kapelak
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sadowski
mesh_terms: D000208:Acute Disease; D000328:Adult; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D017128:Embolectomy; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013300:Streptokinase / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome
chemical_list: D006493:Heparin; D013300:Streptokinase