منابع مشابه
Massive Pulmonary Thromboembolism and Stroke
A 38-year-old HIV-positive female, recently started on antiretroviral therapy, presented in extremis. She had features suggestive of an HIV-associated cardiomyopathy complicated by the following problems: a four-day-old stroke, extensive deep venous thrombosis, and massive pulmonary embolism. She received intravenous streptokinase with rapid improvement, both haemodynamically and, unexpectedly,...
متن کاملClinical course and late prognosis of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.
Thirty-eight patients with pulmonary embolic disease, other than acute massive pulmonary embolism, have been assessed clinically and by right heart catheterisation and pulmonary arteriography or pulmonary embo-lectomy. In addition, completefollow-up information was obtained in 92 per cent (35) ofpatients 1 to 8 years after their initial illness. On the basis of the history and the pulmonary art...
متن کاملSurgical experience of subacute pulmonary thromboembolism with severe pulmonary hypertension.
Surgical treatment for subacute pulmonary arterial thromboembolism has previously been considered to be inappropriate. We undertook a pulmonary arterial thrombectomy and removal of a floating right heart thrombus in a patient who had been symptomatic for over a month. The pulmonary arterial pressure, which had been equal to the systemic pressure preoperatively, decreased gradually and almost no...
متن کاملLate Thrombolysis in Massive Pulmonary Thromboembolism
Pulmonary thromboembolism (PTE) remains a diagnostic and therapeutic challenge for physicians. Anticoagulation with heparin remains as the cornerstone in its management, reserving thrombolysis for cases with hemodynamic impairment. The later has been associated with haemorrhagic complications and has proved beneficial when initiated within the first 48 hours of PTE; but there is little evidence...
متن کاملRight lung exclusion in massive pulmonary thromboembolism
1. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Brasil. A 37-year-old female patient presented to the emergency department with a 3-week history of dyspnea, hypoxemia, pleuritic chest pain, and lower limb edema. She had no history of comorbidities and had had two normal pregnancies. There was no family history of thrombos...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2017
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2017.05.028