PMC4008391_01
CT angiogram of the chest showing bilateral pulmonary emboli (arrows).
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fig1
Considering recent history of limited physical activity and resting hypoxia at the time of presentation, a CT angiogram of the chest was obtained to rule out acute pulmonary embolism which revealed bilateral large pulmonary emboli extending to all major branches (Figure 1).
Prethrombolytic therapy transthoracic 2D echocardiogram showing marked hypokinesia of the right ventricle mid-free wall in end-systole (a) and end-diastole (b) while the right ventricle apex is spared (arrows). Postthrombolytic therapy transthoracic 2D echocardiogram showing complete resolution of right ventricular mid-free wall hypokinesia in end-systole (c) and end-diastole (d).
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fig2
An immediate transthoracic 2D echocardiogram was performed to assess right ventricular function which demonstrated right ventricular dysfunction and a specific echocardiographic sign known as McConnell sign (Figures 2(a) and 2(b); Supplementary Video A available online at doi:10.1155/2011/201097). Two days later, a repeat 2D echocardiogram demonstrated complete resolution of right ventricular dysfunction and McConnell sign (Figures 2(c) and 2(d); Supplementary Video B).