Surgery for massive pulmonary embolism following coronary angioplasty--a case report
Breborowicz, P.; Grygier, M.; Jankowski, J.; Dyszkiewicz, W.; Sarnowski, W.; Tomczyk, J.; Walczak, M.; Mularek-Kubzdela, T.; Perek, Błomiej.; Breborowicz, E.; Kasinowski, R.; Dziarmaga, Mław.; Cieśliński, A.
Kardiologia Polska 60(5): 489-93; Discussion 493
2004
ISSN/ISBN: 0022-9032 PMID: 15247964 Document Number: 569131
A case of a 49-year-old female with acute coronary syndrome is presented. The patient underwent coronary angioplasty with stent implantation. Due to the recurrence of pain and dyspnea a repeated coronary angiography was performed 3 hours later which confirmed good result of angioplasty. For the next 48 hours a local compression on both femoral arteries was maintained and the patient received full anticoagulant and antiplatelet treatment. However, clinical condition of the patient continued to deteriorate. Echocardiography and spiral computerised tomography revealed the presence of a massive pulmonary embolism. The patient underwent surgery and fully recovered.