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ISSN 2078-7170 (Electronic)

2012, Number 4

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CorSalud 2012; 4 (4)

Diagnosis of acute pulmonary thomboembolism by CT angiography

González CR, Rodríguez VB, Nápoles LME, López BOJ, Santana SC

Language: Spanish
References: 11
Page: 307-310
PDF size: 1082.86 Kb.


ABSTRACT

Acute pulmonary thromboembolism have increased morbidity and mortality in the elderly, but it can also occur in young adults, which is why an accurate diagnosis is very important in this age group. This article presents the case of a 37-year-old man, who comes to the emergency room for chest pain without electrocardiographic abnormalities and dilatation of the right chambers on echocardiography. CT angiography was performed and it showed a dilated pulmonary trunk, where there was a hypodense image occupying its distal portion, in relation to acute pulmonary thromboem-bolism. The patient responded favorably to treatment. Through this study, the importance of CT angiography with dual-source CT scanner for evaluation of acute chest pain, in patients with no electrocardiographic ma-nifestations or enzymatic myocardial infarction is demonstrated.


REFERENCES

  1. Moreno-Martínez FL, Holguera-Blázquez C, Torre-jón-Pérez I, López Ramos E. Tratamiento fibri-nolítico de tromboembolismo pulmonar masivo en paciente anciano con neumectomía izquierda y tra-tamiento con quimioterápicos. Rev Esp Geriatr Gerontol. 2010;45(5):307-8.

  2. Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P, et al. Guías de práctica clí-nica de la Sociedad Europea de Cardiología. Guías de práctica clínica sobre diagnóstico y manejo del tromboembolismo pulmonar agudo. Rev Esp Car-diol. 2008;61(12):1330.e1-e52.

  3. Toringhibel M, Adam T, Arghir OC, Gima E. Acute massive pulmonary embolism associated with olan-zapine therapy and no significant personal history in a young male--case report and literature review. Pneumologia. 2011;60(2):82-4.

  4. Sielski J, Janion Sadowska A, Ciuraszkiewicz K, Janion M. Acute pulmonary embolism following car-diac arrest in a 31 year-old female with long QT syndrome. Kardiol Pol. 2011;69(6):590-2.

  5. Henzler T, Schoenberg SO, Schoepf UJ, Fink C. Diagnosing acute [pulmonary embolism: Systematic review of evidence base and cost-effectiveness of imaging tests. J Thorac Imaging. 2012;27(5):304-14.

  6. Becattini C, Agnelli G, Vedovati MC, Pruszczyk P, Casazza F, Grifoni S, et al. Multidetector computed tomography for acute pulmonary embolism: diag-nosis and risk stratification in a single test. Eur Heart J. 2011;32(13):1657-63.

  7. Hunt JM, Bull TM. Clinical review of pulmonary em- bolism: diagnosis, prognosis, and treatment. Med Clin North Am. 2011;95(6):1203-22.

  8. Warren DJ, Matthews S. Pulmonary embolism: investigation of the clinically assessed intermediate risk subgroup. Br J Radiol. 2012;85(1009):37-43.

  9. Planquette B, Belmont L, Meyer G, Sanchez O. Up-date on diagnosis and treatment of high-risk pulmo-nary embolism. Rev Mal Respir. 2011;28(6):778-89.

  10. David S, Beddy P, Babar J, Devaraj A. Evolution of CT pulmonary angiography: referral patterns and diagnostic yield in 2009 compared with 2006. Acta Radiol. 2012;53(1):39-43.

  11. Engelberger RP, Kucher N. Catheter-Based Reper-fusion Treatment of Pulmonary Embolism. Circula-tion. 2011;124(19):2139-44.




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