Saddle pulmonary embolism
Diagnosis certain
Updates to Case Attributes
Age
changed from 60 to 60 years .
Presentation
was changed:
Chest pain and severe dyspneoadyspnoea.
Updates to Study Attributes
Findings
was changed:
Large intra-luminal filling defect (saddle thrombus) straddles the pulmonary artery bifurcation and extends into the main pulmonary arteries, partially occluding their lumens. The thrombus continues to extend through segmental and subsegmental branches of the upper and lower pulmonary lobar arteries in both lungs, nearly occluding their lumens.
Dilated main pulmonary trunk measuring 3.6 cm in diameter, enlarged right ventricle with RT/LT ventricular diameter ratio >1, in keeping with pulmonary hypertension and right heart strain.