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Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism
We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no chang...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Echocardiography
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259551/ https://www.ncbi.nlm.nih.gov/pubmed/22259670 http://dx.doi.org/10.4250/jcu.2011.19.4.224 |
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author | Choe, Won-Seok Kang, Do-Yoon Yoon, Jung-Han Lee, Min-Ho Cha, Myung-Jin Kim, Hyung-Kwan Kim, Yong-Jin Cho, Goo-Yeong Sohn, Dae-Won |
author_facet | Choe, Won-Seok Kang, Do-Yoon Yoon, Jung-Han Lee, Min-Ho Cha, Myung-Jin Kim, Hyung-Kwan Kim, Yong-Jin Cho, Goo-Yeong Sohn, Dae-Won |
author_sort | Choe, Won-Seok |
collection | PubMed |
description | We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no change in the extent of PE and did not support a role of surgical treatment, pulmonary embolectomy was recommended by attending physician based on clinical and echocardiographic hemodynamic findings like unstable vital sign and markedly enlarged right ventricle with severely depressed systolic function. Surgery confirmed the presence of fresh thrombi. After surgery, hemodynamic status was progressively improved, but the patient died due to pneumonia and pulmonary hemorrhage. |
format | Online Article Text |
id | pubmed-3259551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Korean Society of Echocardiography |
record_format | MEDLINE/PubMed |
spelling | pubmed-32595512012-01-18 Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism Choe, Won-Seok Kang, Do-Yoon Yoon, Jung-Han Lee, Min-Ho Cha, Myung-Jin Kim, Hyung-Kwan Kim, Yong-Jin Cho, Goo-Yeong Sohn, Dae-Won J Cardiovasc Ultrasound Case Report We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no change in the extent of PE and did not support a role of surgical treatment, pulmonary embolectomy was recommended by attending physician based on clinical and echocardiographic hemodynamic findings like unstable vital sign and markedly enlarged right ventricle with severely depressed systolic function. Surgery confirmed the presence of fresh thrombi. After surgery, hemodynamic status was progressively improved, but the patient died due to pneumonia and pulmonary hemorrhage. Korean Society of Echocardiography 2011-12 2011-12-27 /pmc/articles/PMC3259551/ /pubmed/22259670 http://dx.doi.org/10.4250/jcu.2011.19.4.224 Text en Copyright © 2011 Korean Society of Echocardiography http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Choe, Won-Seok Kang, Do-Yoon Yoon, Jung-Han Lee, Min-Ho Cha, Myung-Jin Kim, Hyung-Kwan Kim, Yong-Jin Cho, Goo-Yeong Sohn, Dae-Won Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title | Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title_full | Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title_fullStr | Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title_full_unstemmed | Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title_short | Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism |
title_sort | importance of clinical and echocardiographic hemodynamic assessment in chronic pulmonary embolism |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259551/ https://www.ncbi.nlm.nih.gov/pubmed/22259670 http://dx.doi.org/10.4250/jcu.2011.19.4.224 |
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