Successful Outcome of Medical Therapy in a Case of Acute Massive Pulmonary Thromboembolism Presenting with Saddle Thromboembolus

Gowrinath, K and Sheshadri, Shubha and Sean, TG (2006) Successful Outcome of Medical Therapy in a Case of Acute Massive Pulmonary Thromboembolism Presenting with Saddle Thromboembolus. Indian Journal of Chest Diseases Allied Science, 48 (1). pp. 71-73.

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Abstract

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.

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