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Case Reports
. 2023 Dec 9;11(12):e8314.
doi: 10.1002/ccr3.8314. eCollection 2023 Dec.

A decisive lifesaving tool in submassive pulmonary embolism: Bedside echocardiography

Shambhu Khanal  1 , Suman Adhikari  2 , Vijay Yadav  2 , Savita Aryal  3 , Shreya Thapa  4 , Ratna Mani Gajurel  2
Affiliations
Case Reports

A decisive lifesaving tool in submassive pulmonary embolism: Bedside echocardiography

Shambhu Khanal et al. Clin Case Rep. .

Abstract

Key clinical message: Immediate thrombolysis in submassive pulmonary embolism on the basis of bedside echocardiography can be a lifesaving decision in areas where computed tomography (CT) pulmonary angiogram is not readily available.

Abstract: Bedside echocardiography can be a rapid diagnostic and decision-making tool for immediate thrombolysis in submassive pulmonary embolism with evidence of progressively failing ventricles. We report a case of submassive pulmonary embolism in a 26-year-old male under testosterone replacement therapy, who was successfully thrombolyzed based on bedside echocardiography findings.

Keywords: bedside echocardiography; submassive pulmonary embolism; testosterone replacement therapy; thrombolysis.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding publication of this case report.

Figures

FIGURE 1
FIGURE 1
Electrocardiogram showing sinus tachycardia with heart rate 166 bpm and S1Q3T3 pattern.
FIGURE 2
FIGURE 2
Parasternal short axis view in transthoracic echocardiography showing a large thrombus at the level of bifurcation of main pulmonary artery in right pulmonary artery (blue arrow).
FIGURE 3
FIGURE 3
Coronal view of computed tomography pulmonary angiogram showing occluding thrombus in bilateral pulmonary vessels (blue arrows).
See this image and copyright information in PMC

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