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Massive Pulmonary Embolism

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Presentation on theme: "Massive Pulmonary Embolism"— Presentation transcript:

1 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 (November 2013) DOI: /j.ccl Copyright © 2013 Elsevier Inc. Terms and Conditions

2 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  , DOI: ( /j.ccl ) Copyright © 2013 Elsevier Inc. Terms and Conditions

3 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  , DOI: ( /j.ccl ) Copyright © 2013 Elsevier Inc. Terms and Conditions

4 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  , DOI: ( /j.ccl ) Copyright © 2013 Elsevier Inc. Terms and Conditions


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