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CES Medicina
versão impressa ISSN 0120-8705
Resumo
MERA-MARTINEZ, Paulo Francisco; GUERRERO-MONTERO, Aida Gabriela; ARAUJO-PRADO, Laura María e PORTILLO-MINO, José Darío. Massive pulmonary embolism and right ventricle thrombus post-acute myocardial infarct. CES Med. [online]. 2021, vol.35, n.2, pp.165-174. Epub 10-Fev-2022. ISSN 0120-8705. https://doi.org/10.21615/cesmedicina.5908.
Introduction:
right ventricular thrombus and pulmonary embolism after acute myocardial infarction without ST elevation is very unusual. It is considered a medical emergency and it is imperative to establish an immediate therapeutic option.
Case presentation:
An 80-year-old female patient visited the emergency room for syncope, chest pain, and persistent dyspnea. Acute coronary syndrome was confirmed by electrocardiogram and elevated troponin I. In complementary studies, an incidental finding of a thrombus in the right ventricle was found and a CT angiography confirmed massive pulmonary embolism.
Discussion:
thrombus in the right ventricle and massive post-infarction pulmonary embolism is a very rare phenomenon in the clinical setting due to the early introduction of anti-ischemic therapy. More research is needed to clarify this phenomenon.
Palavras-chave : Non-ST-Elevated Myocardial Infarction; Pulmonary embolism; Heart ventricle..
