PMC6362485_01
CT pulmonary angiography showing a large defect in the filling of the bifurcation and the right pulmonary artery.
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fig1
Bilateral pulmonary arteriography showed large central intraluminal thrombus on right pulmonary trunk with obstruction of 70% extending to the right lobular artery, with evidence of angiography of the cloud microvascular on the same side without zones of oligohemia (Figure 1) and biomarkers of positive myocardial injury.
Vena cava filter.
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At that time there was a clear indication for thrombolysis but an absolute contraindication for it, whereby placement of vena cava filter is ordered (Figure 2).
CT pulmonary angiography showing the bifurcation of the right pulmonary artery without clot.
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fig3
Tomographic control is performed observing the absence of a clot at the level of the pulmonary artery trunk (Figure 3).