NATIONWIDE PERSPECTIVE ON THE COMPARISON BETWEEN SADDLE PULMONARY EMBOLISM VS NON-SADDLE PULMONARY EMBOLISM

Saddle pulmonary embolism visualized by transthoracic echocardiography.

Thrombolysis for saddle pulmonary embolism and 3-chamber thrombus.

Currently, the only widely accepted indication for thrombolysis in cases of pulmonary embolism is hemodynamic instability. However, the presence of a right-heart thrombus along with pulmonary embolism is a poor prognostic indicator, and the use of thrombolytic agents should also be considered in this circumstance. Furthermore, despite a risk of distal embolization, thrombolytic therapy may be i...

Large Substernal Thyroid Goiter Associated with Saddle Pulmonary Embolism

A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and t...

Saddle pulmonary embolism as the initial presentation of prothrombin gene mutation G20210A.

To cite: Kiyani A, Ursu S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-218128 DESCRIPTION A Hispanic man aged 28 years with intermittent tobacco and cocaine use presented to the emergency department with acute shortness of breath for 2 days duration in addition to brief calf pain a few days prior that had resolved. He had sustained tachycardia 120–130 bp...

Saddle pulmonary embolism: is it as bad as it looks? A community hospital experience.

BACKGROUND Saddle pulmonary embolism represents a large clot and a risk for sudden hemodynamic collapse. However, the clinical presentation and outcomes vary widely. On the basis of the findings of right heart dysfunction on echocardiograms, computed tomography angiography, or cardiac enzyme elevation, some argue for the use of thrombolytics or catheter thrombectomy even for hemodynamically sta...