PMC8641437_01
Electrocardiogram demonstrates atrial fibrillation with rapid ventricular rate with S1, T3 inversion.
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Electrocardiogram revealed atrial fibrillation with rapid ventricular rate and low voltage (Figure 1). Due to concern for pulmonary embolism, he underwent computed tomography angiogram of the chest which demonstrated a large thrombus burden in the right and left pulmonary arteries with extension into the segmental branches of the left upper, left lower, right lower, and right middle lobes (Figure 2, Video 1) along with an impressive clot in transit in the right atrium (Figure 3).
Computed tomography angiogram of chest (pulmonary embolism protocol) demonstrates large bilateral pulmonary artery embolisms (RPA right pulmonary artery; LPA left pulmonary artery).
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Due to concern for pulmonary embolism, he underwent computed tomography angiogram of the chest which demonstrated a large thrombus burden in the right and left pulmonary arteries with extension into the segmental branches of the left upper, left lower, right lower, and right middle lobes (Figure 2, Video 1) along with an impressive clot in transit in the right atrium (Figure 3). He was brought to the catheterization lab where he underwent echocardiography-guided (Figure 4, Video 2) extirpation of the clot in transit (Video 3) and from bilateral pulmonary arteries (Figure 5). [Videos are only available on the website: journals.ku.edu/kjm].
Computed tomography angiogram of chest (pulmonary embolism protocol) demonstrates large clot in transit (CIT), PE (pulmonary embolism), LV (left ventricle), RA (Right atrium).
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Due to concern for pulmonary embolism, he underwent computed tomography angiogram of the chest which demonstrated a large thrombus burden in the right and left pulmonary arteries with extension into the segmental branches of the left upper, left lower, right lower, and right middle lobes (Figure 2, Video 1) along with an impressive clot in transit in the right atrium (Figure 3).
Echocardiogram, right ventricle tilt view demonstrates clot in transit (CIT), TV (tricuspid valve), RV (right ventricle), LV (left ventricle).
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He was brought to the catheterization lab where he underwent echocardiography-guided (Figure 4, Video 2) extirpation of the clot in transit (Video 3) and from bilateral pulmonary arteries (Figure 5). [Videos are only available on the website: journals.ku.edu/kjm]. A post procedure echocardiogram (Figure 6, Video 4) demonstrated resolution of the clot in transit in the right atrium, along with dramatic improvement in hemodynamics with heart rate of 79 beats per minute, respiratory rate of 15 per minute, saturating 98% without requiring supplemental oxygen, and blood pressure of 122/99 mmHg.
Clot in Transit, Right PA (Pulmonary artery), and Left PA (Pulmonary artery).
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He was brought to the catheterization lab where he underwent echocardiography-guided (Figure 4, Video 2) extirpation of the clot in transit (Video 3) and from bilateral pulmonary arteries (Figure 5). [Videos are only available on the website: journals.ku.edu/kjm].
Echocardiogram post procedure demonstrates resolution of the clot in transit, TV (tricuspid valve), RV (right ventricle), and LV (left ventricle).
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A post procedure echocardiogram (Figure 6, Video 4) demonstrated resolution of the clot in transit in the right atrium, along with dramatic improvement in hemodynamics with heart rate of 79 beats per minute, respiratory rate of 15 per minute, saturating 98% without requiring supplemental oxygen, and blood pressure of 122/99 mmHg.