Massive Pulmonary Embolism

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Presentation transcript:

Massive Pulmonary Embolism Narain Moorjani, MB ChB, MRCS, MD, FRCS (C-Th), Susanna Price, MD, PhD, MRCP, EDICM, FFICM, FESC Cardiology Clinics Volume 31, Issue 4, Pages 503-518 (November 2013) DOI: 10.1016/j.ccl.2013.07.005 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 1 Contrast-enhanced CTPA axial images showing (A) a large saddle embolus at the pulmonary artery bifurcation (arrow) with extension into both the left and right pulmonary arteries, and (B) evidence of right heart strain shown by enlarged right heart chambers, an RV/LV ratio greater than 1.5, and displacement of the interventricular septum. (Courtesy of Dr Deepa Gopalan, Cambridge, United Kingdom.) Cardiology Clinics 2013 31, 503-518DOI: (10.1016/j.ccl.2013.07.005) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 2 Transthoracic echocardiography images in a patient with massive PE, with (A) subcostal long axis view showing acute right heart dilatation, with the RV larger than the LV and (B) parasternal short axis view showing a small compressed LV, which is D-shaped with a flattened IVS, and a dilated RV. IVS, interventricular septum; LA, left atrium; RA, right atrium. Cardiology Clinics 2013 31, 503-518DOI: (10.1016/j.ccl.2013.07.005) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 3 Fluoroscopic image of a temporary caval filter (arrow) positioned in the infrarenal vena cava. (Courtesy of Dr Deepa Gopalan, Cambridge, United Kingdom.) Cardiology Clinics 2013 31, 503-518DOI: (10.1016/j.ccl.2013.07.005) Copyright © 2013 Elsevier Inc. Terms and Conditions