Pulmonary embolism with aortic saddle embolism: a rare presentation
We present an uncommon case report of simultaneous pulmonary embolism and aortic saddle embolism. This patient had risk factors for thromboembolic events that included recent surgery for tibia fracture and immobilisation. She underwent emergency bilateral pulmonary artery catheter-directed thromboly...
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| Veröffentlicht in: | BMJ case reports 2021-06, Vol.14 (6), p.e237024 |
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| creator | Rajendra, Naveen Raju, Radhakrishnan Pawar, Pranay Sebastian, Jithin |
| description | We present an uncommon case report of simultaneous pulmonary embolism and aortic saddle embolism. This patient had risk factors for thromboembolic events that included recent surgery for tibia fracture and immobilisation. She underwent emergency bilateral pulmonary artery catheter-directed thrombolysis, followed by bilateral transfemoral embolectomy. The potential benefit of thrombolysis was weighed against the risk of haemorrhage during the surgery after thrombolysis. Treatment guidelines are not well established for such a condition. This case report illustrates our experience and challenges faced in treating this condition. |
| doi_str_mv | 10.1136/bcr-2020-237024 |
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This patient had risk factors for thromboembolic events that included recent surgery for tibia fracture and immobilisation. She underwent emergency bilateral pulmonary artery catheter-directed thrombolysis, followed by bilateral transfemoral embolectomy. The potential benefit of thrombolysis was weighed against the risk of haemorrhage during the surgery after thrombolysis. Treatment guidelines are not well established for such a condition. This case report illustrates our experience and challenges faced in treating this condition.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-237024</identifier><identifier>PMID: 34158321</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Case Report ; Case reports ; Catheterization, Swan-Ganz ; Catheters ; Ejection fraction ; Embolectomy ; Female ; Humans ; Ischemia ; Medical imaging ; Oxygen saturation ; Patients ; Proteins ; Pulmonary arteries ; Pulmonary Embolism - diagnostic imaging ; Pulmonary Embolism - etiology ; Pulmonary Embolism - surgery ; Pulmonary embolisms ; Surgery ; Thromboembolism ; Thrombolytic Therapy ; Thrombosis ; Treatment Outcome ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>BMJ case reports, 2021-06, Vol.14 (6), p.e237024</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. 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This case report illustrates our experience and challenges faced in treating this condition.</description><subject>Case Report</subject><subject>Case reports</subject><subject>Catheterization, Swan-Ganz</subject><subject>Catheters</subject><subject>Ejection fraction</subject><subject>Embolectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Oxygen saturation</subject><subject>Patients</subject><subject>Proteins</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Embolism - diagnostic imaging</subject><subject>Pulmonary Embolism - etiology</subject><subject>Pulmonary Embolism - surgery</subject><subject>Pulmonary embolisms</subject><subject>Surgery</subject><subject>Thromboembolism</subject><subject>Thrombolytic Therapy</subject><subject>Thrombosis</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1LwzAYxoMobsydvUnBiwh1-W7rQZDhFwz0oOAtJGnqMtpmJq3if2_G5phezOUNvL_3yfPmAeAYwQuECJ8o7VMMMUwxySCme2CIMpalWQFf93fuAzAOYQHjIYjmlByCAaGI5QSjIZg-9XXjWum_EtMoV9vQJJ-2myfS-c7qJMiyrM22d5nIxEtvkqU3wbSd7Kxrj8BBJetgxps6Ai-3N8_T-3T2ePcwvZ6liiLYRZeFlrlhmElGiZG0YkoaLimOvhjhGBa40qiqCC9zWTBFDNZ5hYjhTJWIkxG4Wusue9WYUsf3vazF0tsm-hdOWvG709q5eHMfIscYMkKiwNlGwLv33oRONDZoU9eyNa4PAjNKKUc8xxE9_YMuXO_buN6KIgXJcPzPEZisKe1dCN5UWzMIilVGImYkVhmJdUZx4mR3hy3_k0gEzteAahb_qn0DRSyZ8w</recordid><startdate>20210622</startdate><enddate>20210622</enddate><creator>Rajendra, Naveen</creator><creator>Raju, Radhakrishnan</creator><creator>Pawar, Pranay</creator><creator>Sebastian, Jithin</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2106-7322</orcidid></search><sort><creationdate>20210622</creationdate><title>Pulmonary embolism with aortic saddle embolism: a rare presentation</title><author>Rajendra, Naveen ; 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| subjects | Case Report Case reports Catheterization, Swan-Ganz Catheters Ejection fraction Embolectomy Female Humans Ischemia Medical imaging Oxygen saturation Patients Proteins Pulmonary arteries Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - etiology Pulmonary Embolism - surgery Pulmonary embolisms Surgery Thromboembolism Thrombolytic Therapy Thrombosis Treatment Outcome Ultrasonic imaging Veins & arteries |
| title | Pulmonary embolism with aortic saddle embolism: a rare presentation |
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