A 45 year old farmer was kicked in the chest by a horse. In the days following the injury episodic breathlessness developed and he was admitted to hospital with right ventricular failure and pulmonary emboli. Echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after t...

OBJECTIVE We report our experience with 93 consecutive pulmonary artery reconstructions during pulmonary lobectomy with regard to morbidity, mortality, and long-term survival. METHODS Clinical records of all patients who underwent lobectomy with partial or circumferential pulmonary artery resection in a single institution during an 8-year period were reviewed retrospectively. RESULTS Lobect...

OBJECTIVES To describe the mode of presentation, interventions, and outcome of HIV infected patients with pulmonary embolism and a contraindication to anticoagulation, who were treated with a bird's nest filter. METHODS Retrospective review of case records and imaging department database at UCL Hospitals, London, UK. RESULTS Three patients had pulmonary embolism and contraindications to ant...

Diagnosing pulmonary embolism is problematic since clinical signs and symptoms of PE are aspecific. Diagnostic algorithms have been developed to rationalize the use of imaging tests in patients with a clinical suspicion of PE. An algorithm based on helical CT has gained widespread interest due to the availability of helical CT. However, these algorithms have often been implemented without appro...

Pulmonary tumor embolism (PTE) is a rare manifestation of cancer. It is characterized by the presence of tumor cell emboli in the pulmonary arterioles and capillaries leading to an elevation of pulmonary vascular resistance. The ante-mortem diagnosis is difficult. We report a case of PTE associated with recurrent breast cancer that presented with neurological symptoms due to paradoxical cerebra...

This case reveals a left pulmonary arteriovenous malformation (PAVM) as a cause of recurrent cerebral and cerebellar emboli. Extensive workup excluded other etiologies of emboli formation, and the patient was transferred to a tertiary care center for percutaneous embolotherapy. In the absence of a clear etiology, PAVM should be considered as a potential cause of recurrent cerebral emboli, espec...

abstract background: the optimal therapy of acute iliofemoral venous thrombosis is still a matter of debate. the purpose of our study was to evaluate the late results of iliofemoral thrombectomy with regard to the prevention of the development of a post thrombotic syndrome (pts). methods: during 2000-2003, 18 patients underwent transfemoral venous thrombectomy for acute iliofemoral venous throm...

A venous air embolism and paradoxical air embolism (PAE) are serious complications in patients undergoing a hepatectomy. We report a case of PAE and cerebral infarctions in a patient undergoing a hepatic resection using a Cavitron Ultrasonic Surgical Aspirator (CUSA®). A 65-year-old woman underwent a left lobe hepatectomy. During the middle phase of the liver resection with CUSA®, there was a s...

BACKGROUND Arrhythmias resulting in cardiac arrest during electroconvulsive therapy have been reported. Most reported cases of cardiac arrest had asystole as the initial rhythm. Pulseless electrical activity as an initial rhythm of cardiac arrest during electroconvulsive therapy has never been reported. Also, thromboembolism after inflation of pneumatic tourniquet during lower limb surgery has ...

A 54-year-old previously healthy woman presented with shortness of breath following a long car journey. The patient was found to have massive pulmonary embolism on computed tomography (CT) angiography (Fig. 1). Transthoracic echocardiography showed a dilated and poor-functioning right ventricle with a snake-like large mobile thrombus extending from the inferior vena cava (Video 1) to the right ...