This patient case is from Taipei, Taiwan, 2013. For more on Massive PE management, see References below.
Peer Review: Dr. B Barnes
Patient DC portrayed by Frank Minamino
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All music by Lifeformed ► https://lifeformed.bandcamp.com

Thumbnail ► Saddle Pulmonary Embolism Case courtesy of Dr Safwat Mohammad Almoghazy, Radiopaedia.org, rID: 55992

Medicine ►    • Medicine  

These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.

References:
[0] Matthews JC, et. al. Acute Right Ventricular Failure in the Setting of Acute Pulmonary Embolism or Chronic Pulmonary Hypertension: A Detailed Review of the Pathophysiology, Diagnosis, and Management. Curr Cardiol Rev. 2008 Feb; 4(1): 49–59. https://www.ncbi.nlm.nih.gov/pmc/arti...

[1] Wijdicks EF et. al. Practice parameter: prediction of outcome in comatose survivors after cardiopulmonary resuscitation (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2006 Jul 25;67(2):203-10. https://www.ncbi.nlm.nih.gov/pubmed/1...

[2] Zandbergen EG. et. al. Systematic review of early prediction of poor outcome in anoxic-ischaemic coma. Lancet. 1998;352(9143):1808. https://www.ncbi.nlm.nih.gov/pubmed/9...

[3] Flinterman LE. et. al. Long-term survival in a large cohort of patients with venous thrombosis: incidence and predictors. PLoS Med. 2012 Jan;9(1):e1001155. Epub 2012 Jan 10. https://www.ncbi.nlm.nih.gov/pubmed/2...

[4] Jaff MR, et. al. Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension. Circulation. 2011;123:1788–1830. https://www.ncbi.nlm.nih.gov/pubmed/2...

[5] Wang C et. al. Efficacy and safety of low dose recombinant tissue-type plasminogen activator for the treatment of acute pulmonary thromboembolism: a randomized, multi center, controlled trial. Chest 2010; 137(2): 254-62. https://www.ncbi.nlm.nih.gov/pubmed/1...

[6] Araoz PA et. al. Pulmonary embolism: prognostic CT findings. Radiology. 2007 Mar;242(3):889-97. https://www.ncbi.nlm.nih.gov/pubmed/1...

[7] Burman ED, et. al. Pulmonary artery diameters, cross sectional areas and area changes measured by cine cardiovascular magnetic resonance in healthy volunteers. J Cardiovasc Magn Reson. 2016; 18: 12. https://www.ncbi.nlm.nih.gov/pmc/arti...