Roque D, Magno P, Ministro A, Santos M, Sousa MD, Augusto J, Morais C. Concomitant pulmonary embolism and aortic dissection: approach to anticoagulation.
Rev Port Cardiol 2018;
39:351.e1-351.e4. [PMID:
29803649 DOI:
10.1016/j.repc.2017.09.025]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Revised: 08/21/2017] [Accepted: 09/24/2017] [Indexed: 01/16/2023] Open
Abstract
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.
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