Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation
The authors describe a case of a patient admitted with a pre-syncopal episode and precordial discomfort, and whose cardiac ultrasound performed in the Emergency Room was suggestive of Pulmonary Embolism. The patient was submitted to fibrinolytic therapy after cardiac arrest. The computerized tomogra...
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doaj-b7a3b3eadc764ce8af68237b21ec1cad2020-12-13T04:18:32ZengElsevierRevista Portuguesa de Cardiologia (English Edition)2174-20492020-06-01396351.e1351.e4Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulationDavid Roque0Pedro Magno1Augusto Ministro2Miguel Santos3Marta de Sousa4João Augusto5Carlos Morais6Serviço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, Portugal; Corresponding author.Serviço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, PortugalServiço de Cirurgia Vascular, Hospital de Santa Maria, Lisboa, PortugalServiço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, PortugalServiço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, PortugalServiço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, PortugalServiço de Cardiologia, Hospital Professor Doutor Fernando da Fonseca, EPE, Amadora, PortugalThe authors describe a case of a patient admitted with a pre-syncopal episode and precordial discomfort, and whose cardiac ultrasound performed in the Emergency Room was suggestive of Pulmonary Embolism. The patient was submitted to fibrinolytic therapy after cardiac arrest. The computerized tomography done after this episode not only confirmed the presence of pulmonary embolism but had also shown a Stanford Type B Aortic Dissection. The option was to maintain the therapeutic anticoagulation, having the patient evolved favourably. Resumo: Os autores descrevem um caso de uma doente admitida após episódio pré-sincopal associado a precordialgia e cujo ecocardiograma sumário feito no Serviço de Urgência demonstrou alterações compatíveis com tromboembolismo pulmonar, tendo a doente sido submetida a terapêutica fibrinolítica, após episódio de paragem cardiorrespiratória. Na angiotomografia de tórax feita posteriormente para confirmação diagnóstica demonstra-se a presença não só de trombos no nível da artéria pulmonar, mas também de disseção da aorta Stanford B, tendo-se optado pela manutenção de anticoagulação terapêutica e a doente evoluído de forma favorável.http://www.sciencedirect.com/science/article/pii/S217420492030249XAnticoagulaçãoTromboembolismo pulmonarDissecção da aorta |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
David Roque Pedro Magno Augusto Ministro Miguel Santos Marta de Sousa João Augusto Carlos Morais |
spellingShingle |
David Roque Pedro Magno Augusto Ministro Miguel Santos Marta de Sousa João Augusto Carlos Morais Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation Revista Portuguesa de Cardiologia (English Edition) Anticoagulação Tromboembolismo pulmonar Dissecção da aorta |
author_facet |
David Roque Pedro Magno Augusto Ministro Miguel Santos Marta de Sousa João Augusto Carlos Morais |
author_sort |
David Roque |
title |
Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation |
title_short |
Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation |
title_full |
Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation |
title_fullStr |
Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation |
title_full_unstemmed |
Concomitant pulmonary embolism and aortic dissection: An approach to anticoagulation |
title_sort |
concomitant pulmonary embolism and aortic dissection: an approach to anticoagulation |
publisher |
Elsevier |
series |
Revista Portuguesa de Cardiologia (English Edition) |
issn |
2174-2049 |
publishDate |
2020-06-01 |
description |
The authors describe a case of a patient admitted with a pre-syncopal episode and precordial discomfort, and whose cardiac ultrasound performed in the Emergency Room was suggestive of Pulmonary Embolism. The patient was submitted to fibrinolytic therapy after cardiac arrest. The computerized tomography done after this episode not only confirmed the presence of pulmonary embolism but had also shown a Stanford Type B Aortic Dissection. The option was to maintain the therapeutic anticoagulation, having the patient evolved favourably. Resumo: Os autores descrevem um caso de uma doente admitida após episódio pré-sincopal associado a precordialgia e cujo ecocardiograma sumário feito no Serviço de Urgência demonstrou alterações compatíveis com tromboembolismo pulmonar, tendo a doente sido submetida a terapêutica fibrinolítica, após episódio de paragem cardiorrespiratória. Na angiotomografia de tórax feita posteriormente para confirmação diagnóstica demonstra-se a presença não só de trombos no nível da artéria pulmonar, mas também de disseção da aorta Stanford B, tendo-se optado pela manutenção de anticoagulação terapêutica e a doente evoluído de forma favorável. |
topic |
Anticoagulação Tromboembolismo pulmonar Dissecção da aorta |
url |
http://www.sciencedirect.com/science/article/pii/S217420492030249X |
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