Saddle embolus with right heart strain

Case contributed by Ian Bickle


Post operative DVT.

Patient Data

Age: 65 years
Gender: Male

Saddle embolus.

Extensive thrombus in all the branches of pulmonary arteries with the exception of the right middle lobe. Multiple extensive segmental emboli.  The polo mint sign is illustrated in the left lower lobe pulmonary artery.

Severe right heart strain as evidenced by deflexion of the interventricular septum.

Lungs clear.

Case Discussion

Large volume pulmonary embolus with severe right heart strain.

Two classic signs in pulmonary emboli are illustrated - a saddle embolus and the polo mint sign.

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