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A patient with pulmonary embolism takes a surprising HIT: a case report.


ABSTRACT:

Background

Venous thromboembolism (VTE) is a common condition that may manifest as intermediate or high-risk pulmonary embolism (PE), requiring either primary or subsequent fibrinolytic therapy. In these cases, catheter-directed thrombolysis (CDT) has been shown to be beneficial.

Case summary

We present the case of a borderline obese but otherwise healthy 43-year-old male individual, who was admitted with acute intermediate- to high-risk PE requiring treatment with intravenous unfractionated heparin. After initial therapy failure, the patient received CDT, with subsequent clinical worsening, and a mixed result of imaging studies suggesting partial central worsening and partial peripheral improvement of the thrombotic burden and right ventricular (RV) function. After a multid

SUBMITTER: Wasserstrum Y 

PROVIDER: S-EPMC8407492 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature