Massive pulmonary embolism immediately diagnosed by transthoracic echocardiography and treated with tenecteplase fibrinolysis.

Journal of Thrombosis and Thrombolysis
Natale Daniele BrunettiMatteo Di Biase

Abstract

We report the case of a 75-year-old woman with new onset dyspnoea, hypotension, and right bundle branch block. Transthoracic echocardiography (TTE) showed a thrombus in the right pulmonary artery and acute pulmonary embolism was diagnosed. The patient immediately underwent fibrinolysis with tenecteplase, with prompt recovery of clinical conditions and ECG anomalies. Bedside TTE might be helpful for immediate diagnosis of massive PE needing rapid treatment by fibrinolysis.

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Citations

Aug 9, 2011·The Journal of Emergency Medicine·Matthew P BorlozMichael S Antonis
Apr 23, 2014·Heart & Lung : the Journal of Critical Care·Luisa De GennaroNatale Daniele Brunetti
Mar 20, 2015·Case Reports in Emergency Medicine·David MigneaultFrançois de Champlain

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