PMC5875138_01
(a and b) Computed Tomography Angiography performed on admission, shows arterial occlusion with failure to enhance the entire lumen due to a large filling defect
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F1
After first aid consisting of iv line placement, oxygen treatment, and fluid infusion, to confirm the diagnosis, it was decided to refer the patient contrast chest computed tomography (CT) [Figure 1a and b] which showed MPE associated with hypotension; thus, the patient was admitted to coronary care unit (CCU).
(a and b) Right ventricle enlargement with floating thrombus
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F2
Reduction of right ventricle diameter after 24 h from thrombolysis
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F3
Echocardiogram repeated after 24 h [Figure 3] from thrombolysis showed a clear improvement of the hemodynamics of the RV, a reduction of RV dilatation and of pulmonary pressures, and disappearance of septal motion, and reduction of vena cava diameter.