Pulmonary embolism (saddle)

Case contributed by Dr Jeremy Jones


Shortness of breath and pleuritic chest pain.

Patient Data

Age: Middle-aged
Gender: Female

Large non-occlusive pulmonary embolus draped over the bifurcation of the main pulmonary artery; a saddle pulmonary embolus.

Case Discussion

The large embolus draped over the pulmonary artery bifurcation is non-occlusive. However, the distal pulmonary artery branches were full of occlusive thrombus and right heart pressures were high.

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.

PlayAdd to Share

Case information

rID: 6120
Case created: 1st May 2009
Last edited: 8th Aug 2017
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.