Extensive acute pulmonary emboli with right heart strain
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Michael P Hartung had no recorded disclosures.View Michael P Hartung's current disclosures
Shortness of breath.
Loading Stack -
0 images remaining
Extensive acute bilateral pulmonary emboli nearly filling both right and left pulmonary arteries and involving all lobes.
Borderline/mildly dilated main pulmonary artery, dilated right heart with flattening/bowing of the interatrial septum, and reflux of contrast into IVC and hepatic veins.
Peripheral consolidation in the right lower lobe is likely an infarct.
Dilation of the right ventricle, bowing of the intraventricular septum, and reflux of contrast into the IVC/hepatic veins indicate right ventricular dysfunction due to extensive bilateral pulmonary embolus.
Reporting this finding can help the treatment team by prompting more careful hemodynamic monitoring and aggressive management.
2 articles feature images from this case
11 public playlists include this case
- ER Course by Dania Bukhari
- Cases hay by Nguyen Viet Dzung
- chest by Prabhat karki
- DT thorax by Kolbeinn Hans Halldorsson
- thorax by walter mello junior
- PE by Sebastien Gingras
- chest by Tanoj Singh
- PE by kalpesh bhesaniya
- cardiac- 4 by tuanleminh ◉
- cardiac-3 by tuanleminh ◉
- JL ED teaching by Jacqueline Lubomski