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Case Report

Diagnosis and management of acute pulmonary thromboembolism: case report

By
Edison Bolívar Ortiz Freire ,
Edison Bolívar Ortiz Freire

Red complementaria de Salud. Médico Residente Asistencial. Clínica de Especialidades España. Cuenca, Ecuador

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Christian Alexander Lema Guaraca ,
Christian Alexander Lema Guaraca

Red complementaria de Salud. Médico Residente Asistencial. Clínica de Especialidades España. Cuenca, Ecuador

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Pedro Manolo García Sarmiento ,
Pedro Manolo García Sarmiento

Red complementaria de Salud. Médico Residente Asistencial. Clínica de Especialidades España. Cuenca, Ecuador

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Germania Elizabeth Ortiz Freire ,
Germania Elizabeth Ortiz Freire

Ministerio de Salud Pública. Interna rotativa. Hospital Moreno Vazquez. Gualaceo, Ecuador

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Mateo Sebastián García Sarmiento ,
Mateo Sebastián García Sarmiento

Universidad de Cuenca. Facultad de Medicina. Cuenca, Ecuador

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Rubén Argenis Maldonado Cabrera ,
Rubén Argenis Maldonado Cabrera

Servicio de Cardiología e Intensivismo. Médico tratante. Clínica de Especialidades España. Cuenca, Ecuador

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Abstract

Background: Pulmonary Thromboembolism (PTE) is an important cause of hospitalization, morbidity and mortality. At the present time it represents one of the most frequent cardiovascular diseases.
Case report: A 73-year-old female patient with various comorbidities, who was admitted due to severe respiratory distress and hemodynamic instability, was diagnosed with pneumonia, pulmonary hypertension, and a Computed Axial Tomography revealed a tumor mass with alveolar hemorrhage.
Evolution: During the hospital stay, the patient maintained high oxygen needs and hemodynamic instability despite support maneuvers. The alveolar hemorrhage that she presents determines the prophylactic thrombus treatment. The imaging study indicates a tumor mass associated with alveolar hemorrhage and a very high probability of developing deep vein thrombosis (DVT) and subsequent pulmonary thromboembolism (PTE). Reason for which FAST echo was performed, which evidenced deep vein thrombosis in the right common femoral vein, total occlusion of the superficial femoral artery with preserved flow in the deep femoral artery. Absent distal pulses with arterial flow in monophasic anterior tibial with high diastole IR: 0.6, and Ankle arm index 0.5, posterior echocardiogram with dilation of the right cavities, PSAP of 54 mmHg and McConnel's sign. Patient intervenes with a massive pulmonary thromboembolism that results in death.
Conclusions: Pulmonary embolism is a pathology that occurs in 1 per 1000 cases. Individualizing each case can be decisive to safeguard the life of a patient.

How to Cite

1.
Ortiz Freire EB, Lema Guaraca CA, García Sarmiento PM, Ortiz Freire GE, García Sarmiento MS, Maldonado Cabrera RA. Diagnosis and management of acute pulmonary thromboembolism: case report. Salud, Ciencia y Tecnología [Internet]. 2023 Jun. 1 [cited 2024 Jul. 15];3:389. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/389

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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