Acute Improvement in Right Ventricular Function after Treatment of Presumed Massive Pulmonary Embolism with Thrombolytics

PVRI Member Authors: Evan Brittain

Abstract

Acute massive pulmonary embolism results in a rise in pulmonary vascular resistance and acute right ventricular dilation and systolic dysfunction. In unstable patients who cannot safely undergo computed tomography, echocardiography can often provide direct and indirect evidence of pulmonary embolism. We present a case in which clinical and echocardiographic evidence provided sufficient evidence of PE to initiate treatment. Dynamic improvement in hemodynamics and echocardiographic parameters of RV function indicated successful treatment.

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Topics

Echocardiography
Embolism
Pulmonary Embolism
Right Ventricle: Structure, Function and Dysfunction

Authors

Evan L. Brittain, David R. Janz, Kenneth J. Monahan, Carla M. Sevin

Published in:

Pulmonary Circulation Vol 2: No 4 cover image

December 2012

Pulmonary Circulation Vol 2: No 4

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