title: Successful Thrombolysis of a Large Pulmonary Artery Thrombosis.
abstract: A 32 yrs old man presented with shortness of breath and syncopal episode with preceding history of DVT 15days above. Patient has tachycardia hypoxia and hypotension, on evaluation ECG Showed S1 Q3 T3 Pattern, bedside Echo Showed visible thrombus of 3cm in pulmonary artery, successfully thrombolysed with tenecteplase and streptokinase. This case study is presented to stress importance of urgent bedside echo in all sudden onset dysponea and hypoxia to rule out pulmonary Embolism which can be successfully thrombolysed without delay.
authors.affiliation: Interventional Cardiologist and Prof. and Head.
authors.forename: Ajay U
authors.initials: AU
authors.lastname: Mahajan
authors.affiliation: Prof. and Head, Dept of Medicine.
authors.forename: Deepak S
authors.initials: DS
authors.lastname: Laddhad
authors.affiliation: Interventional Cardiologist.
authors.forename: Deepak
authors.initials: D
authors.lastname: Bohara
authors.affiliation: Research Incharge.
authors.forename: Sangeeta D
authors.initials: SD
authors.lastname: Laddhad
authors.affiliation: Senior Resident.
authors.forename: Yogita T
authors.initials: YT
authors.lastname: Dinde
authors.affiliation: Junior Resident, Laddhad Hospital, Post Graduate Institute for Medical Education and Research (DNB), Multispecialty Hospital, Buldana, Maharashtra.
authors.forename: Sachin S
authors.initials: SS
authors.lastname: Bhabad
mesh_terms: D000328:Adult; D004417:Dyspnea / Q000209:etiology*; D004452:Echocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy*; D013300:Streptokinase / Q000627:therapeutic use*; D013575:Syncope / Q000209:etiology; D013610:Tachycardia / Q000209:etiology; D000077785:Tenecteplase; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D020246:Venous Thrombosis / Q000188:drug therapy
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase; D010959:Tissue Plasminogen Activator; D000077785:Tenecteplase