Diagnosis of proximal pulmonary embolism by transthoracic echocardiography

被引:3
作者
Garcon, Philippe [1 ]
Cohen, Iris [1 ]
Nakad, Charbel [1 ]
Marini, Valeria [1 ]
Abassade, Philippe [1 ]
Antakly, Yara [1 ]
Cador, Romain [1 ]
机构
[1] St Josephs Hosp Paris, Div Cardiol, F-75014 Paris, France
关键词
pulmonary embolism; transthoracic echocardiography;
D O I
10.1016/j.echo.2007.10.025
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To date, few cases giving detailed visual descriptions of a thrombus in the pulmonary arteries or its branches in transthoracic echocardiography have been reported. We report the case of a 67-year-old man who was admitted to a hospital emergency department with a thrombus in the right pulmonary artery diagnosed by transthoracic echocardiography. The specificity of echocardiography in pulmonary embolism varies between 80% and 90% according to the series. The direct visualization of a thrombus is sometimes possible, permitting a faster diagnosis in patients with compromised hemodynamic status.
引用
收藏
页码:1079.e1 / 1079.e3
页数:3
相关论文
共 11 条
[1]   Prevalence and prognostic significance of right-sided cardiac mobile thrombi in acute massive pulmonary embolism [J].
Casazza, F ;
Bongarzoni, A ;
Centonze, F ;
Morpurgo, M .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 79 (10) :1433-&
[2]   Floating right heart thrombi and pulmonary embolism: Diagnosis, outcome and therapeutic management [J].
Chapoutot, L ;
Nazeyrollas, P ;
Metz, D ;
Maes, D ;
Maillier, B ;
Jennesseaux, C ;
Elaerts, J .
CARDIOLOGY, 1996, 87 (02) :169-174
[3]   Free-floating thrombi in the right heart -: Diagnosis, management, and prognostic indexes in 38 consecutive patients [J].
Chartier, L ;
Béra, J ;
Delomez, M ;
Asseman, P ;
Beregi, JP ;
Bauchart, JJ ;
Warembourg, H ;
Théry, C .
CIRCULATION, 1999, 99 (21) :2779-2783
[4]   Utility of an integrated clinical, echocardiographic, and venous ultrasonographic approach for triage of patients with suspected pulmonary embolism [J].
Grifoni, S ;
Olivotto, I ;
Cecchini, P ;
Pieralli, F ;
Camaiti, A ;
Santoro, G ;
Pieri, A ;
Toccafondi, S ;
Magazzini, S ;
Berni, G ;
Agnelli, G .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (10) :1230-1235
[5]   Transthoracic echocardiographic demonstration of massive pulmonary thrombus caused by protein C deficiency [J].
Jeon, HK ;
Youn, HJ ;
Yoo, KD ;
Park, JW ;
Kim, HY ;
Rhim, HY ;
Chae, JS ;
Kim, JH ;
Choi, KB ;
Hong, SJ .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2000, 13 (07) :682-684
[6]   Massive pulmonary embolism [J].
Kucher, N ;
Rossi, E ;
De Rosa, M ;
Goldhaber, SZ .
CIRCULATION, 2006, 113 (04) :577-582
[7]   Echocardiographic visualization of acute pulmonary embolus and thrombolysis in the ED [J].
Madan, A ;
Schwartz, C .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2004, 22 (04) :294-300
[8]  
Nazeyrollas P, 1996, EUR HEART J, V17, P779
[9]   Diagnostic accuracy of Doppler-echocardiography in unselected patients with suspected pulmonary embolism [J].
Perrier, A ;
Tamm, C ;
Unger, PF ;
Lerch, R ;
Sztajzel, J .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1998, 65 (01) :101-109
[10]   Morphologic characteristics of central pulmonary thromboemboli predict haemodynamic response in massive pulmonary embolism [J].
Podbregar, M ;
Voga, G ;
Krivec, B .
INTENSIVE CARE MEDICINE, 2004, 30 (08) :1552-1556