IN 1-2% of patients with deep vein thrombosis (DVT), pulmonary emboli develop despite therapy with heparin.' Episodes of DVT successfully treated with anticoagulant therapy may still result in venous valvular incompetence and lead to postphlebitic syndromes characterized by ulceration, varicosities and edema. Studies of thrombolytic agents suggest that early use of these drugs for extensive ven...

In chronic pulmonary emboli, lung perfusion may be maintained by either recanalization of occluded pulmonary artery segments or collateral bronchial circulation. We present a case of noncardiogenic pulmonary edema superimposed on chronic pulmonary emboli, in which the occluded segments of lung were spared from pulmonary edema, but not from neutrophil infiltration. This case demonstrates that ch...

Acute massive pulmonary embolism is a lifethreatening emergency that must be promptly diagnosed and managed. A 52-year-old man presented with progressively increasing dyspnoea for three days. He had a previous history of chronic obstructive pulmonary disease and was currently a heavy smoker. Examination revealed bilateral wheezing. Chest x-ray and electrocardiography showed non-specific changes...

Acute massive pulmonary embolism is a life-threatening emergency that must be promptly diagnosed and managed. A 52-year-old man presented with progressively increasing dyspnoea for three days. He had a previous history of chronic obstructive pulmonary disease and was currently a heavy smoker. Examination revealed bilateral wheezing. Chest x-ray and electrocardiography showed non-specific change...

The occurrence of pulmonary emboli in 617 patients admitted to a respiratory intensive care unit was studied. Pulmonary emboli were found in 18 (27 percent) of 66 autopsies. Half of these pulmonary emboli were not diagnosed before death, despite persistent aggressive attempts to document pulmonary emboli. In this subpopulation of patients with respiratory failure, the usual clinical manifestati...

Reports of the autopsy incidence of pulmonary embolism in non-surgical general hospital patients’ especially those with coronary heart disease23 have resulted in increasing use of anticoagulant therapy in “medical” patients. The autopsy incidence of pulmonary embolism in patients dying with active tuberculosis has not been stressed in comparable fashion. In a previous report4 I have discussed t...

Alt ekstremite derin ven trombozuna bağlı oluşan akut, masif pulmoner emboli tanısı konmuş 76 yaşında erkek hastada ciddi kardiyovasküler ve solunumsal instabilite gelişti. Takiben hastaya iki saat süreyle streptokinaz infüzyonu verildi. Trombolitik tedavi sonrası hemodinamik kararsızlığın devam etmesi üzerine, spiral bilgisayarlı tomografi çekildi. Bilgisayarlı tomografi, masif pulmoner emboli...

A 33-year-old female-a known case of Behcet's disease- was admitted to the hospital due to fever, dyspnea and hemoptysis. One week before admission, she had developed right leg swelling. The history suggested either deep vein thrombosis (DVT) and pulmonary emboli or pulmonary artery vasculitis. Diagnostic tests were requested and the necessary treatment was started accordingly