Saddle pulmonary embolus

Case contributed by Dr Hidayatullah Hamidi

Presentation

Acute respiratory destress

Patient Data

Age: 65 years
Gender: Male
CT

Acute saddle embolus extending to the right and left main pulmonary arteries as well as bilateral lobar and segmental branches.

The pulmonary trunk is prominent measuring 3.7 cm in maximum transverse diameter compared to 3.5 cm in maximum transverse diameter of the ascending aorta at the same level.

Straightening of the inter-ventricular septum indicating right heart strain.

Reflux of contrast in IVC and hepatic veins.

Bilateral basal atelectasis.

Case Discussion

Acute saddle pulmonary embolus extending into both lobar and segmental branches with evidence of pulmonary arterial hypertension and right heart strain.

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Case information

rID: 70207
Published: 8th Aug 2019
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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