PMC10443701_01
Both left and right images show multiple lamellar low-density filling defects in the pulmonary artery cavity of the main pulmonary artery, double pulmonary trunk, and multiple branches of each lobe of both lungs.
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F1
D-dimer was extracted, and the patient was positive for D-dimer, and then computed tomography pulmonary angiography (CTPA) examination was performed, indicating pulmonary embolism in the main pulmonary artery, double pulmonary trunk, and multiple branches of each lobe of both lungs (Figure 1).
ECG of the patient after the second admission (heart rate 156 beats/min, ectopic rhythm, abnormal ECG, atrial flutter, 2:1 AV conduction).
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F2
A timeline of all the patient's events.
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F3
Then bilateral annular pulmonary vein ablation and isthmic ablation of the tricuspid valve were performed, and sinus rhythm was restored after surgery (Figure 3).