Akademik Veri Yönetim Sistemi
TEXAS HEART INSTITUTE JOURNAL, cilt.35, sa.3, ss.371-372, 2008 (SCI-Expanded)
A 47-year-old man presented at our emergency department with sudden-onset dyspnea, chest pain, tachycardia, and bilateral leg swelling. He had hypotension and tachycardia. His oxygen saturation was 82% and plasma D-dimer level was 455 mu g/L. An electrocardiogram showed sinus tachycardia and an S(1)Q(3)T(3) pattern. Transesophageal echocardiography (TEE) revealed a large thrombus (cross-sectional area, 3 x 5 cm) in the right atrium and a thrombus extending from the right atrium to the left atrium through a patent foramen ovale (PFO) (Fig. 1A). In addition, the right cardiac chambers were enlarged, and the pulmonary artery pressure was elevated, which suggested Pulmonary embolism. The right atrial thrombus was mobile and, during diastole, protruded from the tricuspid valve into the right ventricle. Chest spiral computed tomography revealed bilateral pulmonary embolism (Fig. 1 B). Doppler Ultrasonography of the lower limbs revealed acute, bilateral, femoral deep-vein thrombosis.