[Interest of echocardiography in the diagnosis and monitoring of a pulmonary embolism complicating a free-floating thrombus in right heart cavities].
We report the case of a 50-year-old patient admitted in ICU for a pulmonary embolism associated with a large thrombus in right heart cavities discovered during an assessment of faintness. Despite an excellent haemodynamic tolerance, there was a systolic and diastolic right ventricular failure and immediate threat to life. The treatment mainly relies on intravenous thrombolysis with excellent results both on thrombus lysis and on the right heart performance. Echocardiography proved to be an essential tool during the management of this patient to ensure the effectiveness and to monitor the whole procedure of thrombolysis.
Service d'anesthésie réanimation 2, hôpital de la Timone-Adultes, Assistance publique-Hôpitaux de Marseille, and UMR PCO2E, université de la Méditerranée, Aix-Marseille II, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. lionel.pellegrini@ap-hm.fr
L
L
Pellegrini
Y
Y
Le Dolley
B
B
Marot
A
A
Riberi
M
M
Bellezza
F
F
Kerbaul
D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D004452:Echocardiography; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000627:therapeutic use; D011379:Prognosis; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator