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KMID : 0390620110190040224
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Journal of Cardiovascular Ultrasound
2011 Volume.19 No. 4 p.224 ~ p.227
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Importance of Clinical and Echocardiographic Hemodynamic Assessment in Chronic Pulmonary Embolism
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Choe Won-Seok
Kang Do-Yoon
Yoon Jung-Han
Lee Min-Ho
Cha Myung-Jin
Kim Hyung-Kwan
Kim Yong-Jin
Cho Goo-Yeong
Sohn Dae-Won
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Abstract
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We describe a 42-year-old man presenting to the emergency department with cardiogenic shock. He had a prior history of acute pulmonary embolism (PE), and had been on anticoagulation for 2 years. Although computed tomographic pulmonary angiography performed at the emergency department showed no change in the extent of PE and did not support a role of surgical treatment, pulmonary embolectomy was recommended by attending physician based on clinical and echocardiographic hemodynamic findings like unstable vital sign and markedly enlarged right ventricle with severely depressed systolic function. Surgery confirmed the presence of fresh thrombi. After surgery, hemodynamic status was progressively improved, but the patient died due to pneumonia and pulmonary hemorrhage.
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KEYWORD
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Pulmonary embolism , Computed tomography , Echocardiography
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