Surgery for massive pulmonary embolism following coronary angioplasty--a case report

A case of a 49-year-old female with acute coronary syndrome is presented. The patient underwent coronary angioplasty with stent implantation. Due to the recurrence of pain and dyspnea a repeated coronary angiography was performed 3 hours later which confirmed good result of angioplasty. For the next...

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Veröffentlicht in:	Kardiologia polska (1957) 2004-05, Vol.60 (5), p.489-93; discussion 493
Hauptverfasser:	Breborowicz, Piotr, Grygier, Marek, Jankowski, Jerzy, Dyszkiewicz, Wojciech, Sarnowski, Wojciech, Tomczyk, Jadwiga, Walczak, Maciej, Mularek-Kubzdela, Tatiana, Perek, Bartłomiej, Breborowicz, Elzbieta, Kasinowski, Ryszard, Dziarmaga, Mieczysław, Cieśliński, Andrzej
Format:	Artikel
Sprache:	pol
Schlagworte:	Angioplasty, Balloon, Coronary - adverse effects Coronary Angiography Coronary Artery Disease - complications Electrocardiography Female Humans Middle Aged Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - etiology Pulmonary Embolism - physiopathology Pulmonary Embolism - surgery Tomography, Spiral Computed
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Beschreibung
Zusammenfassung:	A case of a 49-year-old female with acute coronary syndrome is presented. The patient underwent coronary angioplasty with stent implantation. Due to the recurrence of pain and dyspnea a repeated coronary angiography was performed 3 hours later which confirmed good result of angioplasty. For the next 48 hours a local compression on both femoral arteries was maintained and the patient received full anticoagulant and antiplatelet treatment. However, clinical condition of the patient continued to deteriorate. Echocardiography and spiral computerised tomography revealed the presence of a massive pulmonary embolism. The patient underwent surgery and fully recovered.
ISSN:	0022-9032