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Submassive Central Saddle and Extensive Bilateral Pulmonary Embolism Presenting as Syncope Treated with Catheter-directed Therapy
- Andrusaitis, Jessica;
- Helmy, Mohammad;
- McCoy, Christopher E.;
- Hoonpongsimanont, Wirachin;
- Chakravarthy, Bharath;
- Lotfipour, Shahram
© 2018 by the author(s). Learn more.
Abstract
Massive and submassive pulmonary emboli (PE) are rare but potentially life-threatening medical conditions that necessitate immediate recognition and appropriate treatment. We report a 52-year-old man who was found to have a submassive central saddle and extensive bilateral PEs after experiencing a syncopal event and who had evidence of right heart strain and pulmonary hypertension. He was subsequently treated with catheter-assisted thrombectomy and pulmonary artery tissue plasminogen activator administration. This case report presents an outcome in a patient who received an innovative therapy that has not been well established in this subset of patients.