TITLE

Subacute Massive Thromboembolic Occlusion of a Main Pulmonary Artery

AUTHOR(S)
Woods, Bartholomew O'B.; Beamis Jr., John F.; Bettencourt, Paul E.; Persson, Alfred V.
PUB. DATE
January 1985
SOURCE
Angiology;Jan1985, Vol. 36 Issue 1, p58
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Subacute massive thromboembolic occlusion of the left main pulmonary artery in a 52-year-old woman is described. This disease remains a rare entity with a much less dramatic presentation than acute massive pulmonary embolus. The presenting symptom was unexplained dyspnea. Physical signs and laboratory tests were nonspecific. The perfusion scan is the best screening test for this disorder. Antemortem diagnosis is established by pulmonary angiography. A literature review undertaken to ascertain the incidence of this entity as well as to recommend treatment of choice, be it medical or surgical therapy, was unrewarding. We decided to use thrombolytic therapy and found a marked improvement in the patient's symptoms and perfusion scan after 24 hours. Although thrombolytic therapy is commonly indicated for acute massive pulmonary embolism, we believe this mode of therapy should also be the initial treatment for subacute massive pulmonary thromboembolism.
ACCESSION #
16365730

 

Related Articles

  • Outcomes in children with deep vein thrombosis managed with percutaneous endovascular thrombolysis. Dandoy, Christopher; Kukreja, Kamlesh; Gruppo, Ralph; Patel, Manish; Tarango, Cristina // Pediatric Radiology;May2015, Vol. 45 Issue 5, p719 

    Background: Our center has developed a multidisciplinary approach to percutaneous endovascular thrombolysis with the goal of improving outcomes in children with thrombosis. There is little data describing the safety and efficacy of endovascular thrombolysis and the frequency of post-thrombotic...

  • Intrathrombus Administration of Tissue Plasminogen Activator in Acute Cerebrovascular Occlusion. Frey, James L.; Greene, Karl A.; Khayata, Mazen H.; Dean, Bruce L.; Hodak, John A.; Spetzler, Robert F. // Angiology;Aug1995, Vol. 46 Issue 8, p649 

    Intraarterial thrombolysis for acute cerebrovascular occlusion has achieved recanalization at a 50-90% rate. Clinical outcome has been unpredictable. The authors sought to test the hypothesis that intrathrombus administration of recombinant tissue plasminogen activator (rt-PA) would improve...

  • Grenzentscheidungen in der Schlaganfalltherapie. Endres, M.; Grond, M.; Hacke, W.; Ebinger, M.; Schellinger, P.D.; Dichgans, M. // Der Nervenarzt;Aug2011, Vol. 82 Issue 8, p957 

    In numerous situations stroke physicians face a lack of evidence during their daily practice. In this report the authors address some of the difficult treatment decisions encountered in acute therapy and secondary prevention. Examples include off-label thrombolysis and prevention in high-risk...

  • Thrombolytic therapy for acute stroke in the United Kingdom: experience from the safe implementation of thrombolysis in stroke (SITS) register. K.R. Lees; G.A. Ford; K.W. Muir; N. Ahmed; A.G. Dyker; S. Atula; L. Kalra; E.A. Warburton; J.-C. Baron; D.F. Jenkinson; N.G. Wahlgren; M.R. Walters; for the SITS-UK Group // QJM: An International Journal of Medicine;Nov2008, Vol. 101 Issue 11, p863 

    Aim: To describe the United Kingdom (UK) experience with thrombolytic therapy with intravenous alteplase (rt-PA) for stroke, as captured by the Implementation of Thrombolysis in Stroke (SITS) project. Methods: The multinational Safe Implementation of Thrombolysis in Stroke-Monitoring Study...

  • Perfusion CT in acute stroke: prediction of vessel recanalization and clinical outcome in intravenous thrombolytic therapy. Kloska, Stephan P.; Dittrich, Ralf; Fischer, Tobias; Nabavi, Darius G.; Fischbach, Roman; Seidensticker, Peter; Osada, Nani; Ringelstein, E. Bernd; Heindel, Walter // European Radiology;Oct2007, Vol. 17 Issue 10, p2491 

    This study evaluated perfusion computed tomography (PCT) for the prediction of vessel recanalization and clinical outcome in patients undergoing intravenous thrombolysis. Thirty-nine patients with acute ischemic stroke of the middle cerebral artery territory underwent intravenous thrombolysis...

  • THE THROMBOLYTIC THERAPY OF ACUTE MYOCARDIAL INFARCTION. Poliwoda, Hubert // Angiology;Aug1966, Vol. 17 Issue 8, p528 

    Discusses the thrombolytic therapy of acute myocardial infarction. Recanalization of the thrombolitically narrowed or occluded coronary artery; Prevention of thrombosis in a functioning collateral circulation; Maintenance of the microcirculation in the outer zone of the infarction area.

  • Compression of Vein Graft by Hematoma During Fibrinolytic Therapy Simulating Intrinsic Venous Stricture--A Case Report. Sprayregen, Seymour; Bakal, Curtis W.; Cynamon, Jacob // Angiology;Jan1993 Supplement, Vol. 44, p81 

    Narrowing of a vein graft at an area of perigraft extravasation was encountered during fibrinolytic therapy for graft thrombosis. With cessation of fibrinolytic therapy, extravasation ceased and the vein lumen widened. Extrinsic compression and/or spasm due to a hematoma should be included as...

  • A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism. Aksakal, Enbiya; Emet, Mücahit; Değirmenci, Hüsnü; Uzkeser, Mustafa // Journal of Academic Emergency Medicine Case Reports / Akademik A;2012, Vol. 3 Issue 4, p134 

    Right atrial thrombi are rare but cause mortality in approximately 30-40% of cases. Echocardiography is important for determining the causes of the cardiac origin of pulmonary embolism, and, simultaneously, mobile thrombi can be rarely visualized in the right atrium and pulmonary artery....

  • Salvage intraosseous thrombolysis and extracorporeal membrane oxygenation for massive pulmonary embolism. Northey, Luke Cameron; Shiraev, Timothy; Omari, Abdullah // Journal of Emergencies, Trauma & Shock;Jan-Mar2015, Vol. 8 Issue 1, p55 

    Intraosseous access is an alternative route of pharmacotherapy during cardiopulmonary resuscitation. Extracorporeal membrane oxygenation (ECMO) provides cardiac and respiratory support when conventional therapies fail. This case reports the use of intraosseous thrombolysis and ECMO in a patient...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics