title: McConnell Sign in a Patient with Massive Acute Pulmonary Embolism.
abstract: A 48-year-old female was admitted after experiencing a brief syncopal episode. Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident. Since the accident, her mobility has been limited. CT angiogram of the chest revealed massive bilateral pulmonary emboli. A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction. Considering potential of hemodynamic instability, the patient received fibrinolytic therapy with Alteplase. A subsequent 2D echocardiogram showed complete resolution of McConnell sign and right ventricle dysfunction.
authors.affiliation: Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA.
authors.forename: Qaiser
authors.initials: Q
authors.lastname: Shafiq
authors.affiliation: Pulmonary and Critical Care Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA.
authors.forename: Ragheb
authors.initials: R
authors.lastname: Assaly
authors.affiliation: Cardiology Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA.
authors.forename: Yousuf
authors.initials: Y
authors.lastname: Kanjwal