PMC8254158_01
Plain computed tomography head showing right-sided intracerebral hemorrhage with extension to the ventricles
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F1
The surgery was done by putting the patient on cardiac bypass machine, and incision was made in the main pulmonary artery and a long strand of thrombus was manually retrieved from the main, right, and left pulmonary arteries [Figure 4 and Supplemental Video 1]; then, the main pulmonary artery was sutured closed.
PMC8254158_02
Twelve-lead electrocardiogram showing sinus tachycardia with incomplete right bundle branch block
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F2
Electrocardiogram (ECG) showed sinus tachycardia with incomplete right bundle branch block pattern [Figure 2].
PMC8254158_03
Computed tomography pulmonary angiogram showing large saddle embolus producing a filling defect within the main left and right pulmonary arteries
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F3
A follow-up CT pulmonary angiogram showed large saddle embolus producing a filling defect within the main left and right pulmonary arteries [Figure 3].
PMC8254158_04
PMC8254158_05
PMC8254158_06
Plain computed tomography head showing right-sided intracerebral hemorrhage with extension to the ventricles
HV-22-45-g001.jpg
PMC8254158_06_HV-22-45-g001.jpg
F1
The surgery was done by putting the patient on cardiac bypass machine, and incision was made in the main pulmonary artery and a long strand of thrombus was manually retrieved from the main, right, and left pulmonary arteries [Figure 4 and Supplemental Video 1]; then, the main pulmonary artery was sutured closed.
Gross image during surgical embolectomy of large pulmonary embolism. (a) Successful manual removal of large thrombus strand through small incision in the main pulmonary artery. (b) Removed
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F4
The surgery was done by putting the patient on cardiac bypass machine, and incision was made in the main pulmonary artery and a long strand of thrombus was manually retrieved from the main, right, and left pulmonary arteries [Figure 4 and Supplemental Video 1]; then, the main pulmonary artery was sutured closed.
Intraoperative transesophageal echocardiography with bubble injection showing bubbles leaking from right to left atrium through patent foramen ovale (blue line)
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F5
The patient had an incidentally found patent foramen ovale on intraoperative transesophageal echocardiography (TEE) which was closed also during the surgery [Figure 5] with prolene sutures.
Follow-up computed tomographic pulmonary angiography showing clearance of the saddle embolus with residual small thrombus (blue arrow) in the right segmental pulmonary artery
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F6
Follow-up CT scan was done 4 days after the surgery and showed clearance of the saddle embolus with small residual thrombus in the right main pulmonary artery and bilateral segmental branch [Figure 6].
Follow-up magnetic resonance imaging showing normalization of right ventricular size and function
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F7
It showed normalization of RV volume and function [Figure 7], indexed end-diastolic RV volume of 42 ml/m2, and indexed end-systolic RV volume of 22 ml/m2 with RV ejection fraction of 48%.
PMC8254158_07