Trombembolism pulmonar masiv complicat | [Massive pulmonary thrombembolism complicated]

Authors

  • Alexandra Gheorghe Spitalul Clinic Judeţean de Urgenţă, Braşov, România
  • Maria-Mirabela Mihăilescu-Marin Spitalul Clinic Judeţean de Urgenţă, Braşov, România

Keywords:

massive pulmonary thromboembolism, syncope, hypotension, CT spiral

Abstract

We are referring to the case of a 62-year-old man, who came to our service after suffering from syncope at home. The clinical examination revealed dyspnea with tachypnea, hypotension, tachycardia, right ventricular gallop, and right leg (calf) edema. Given the serious condition of the patient, clinical and paraclinic hints of a pulmonary embolism, spiral CT was performed proving the presence of massive pulmonary thromboembolism. The patient received electrolyte rebalancing, anticoagulant therapy, and trophic brain. During hospitalization, the patient experienced cardiac arrest, but he was successfully resuscitated.

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Published

2013-01-21

Issue

No. 2 (2012)

Section

Cazuri clinice