Pulmonary embolism (saddle)
Shortness of breath and pleuritic chest pain.
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Large non-occlusive pulmonary embolus draped over the bifurcation of the main pulmonary artery; a saddle pulmonary embolus.
The decision was made to thrombolyse based on radiological burden of clot, evidence of right heart strain and her clinical signs and symptoms.
She made a complete recovery following appropriate resuscitation and thrombolysis. Follow up confirmed a Factor V Leiden deficiency.