Diagnóstico y manejo de tromboembolismo pulmonar agudo: informe de caso

Edison Bolívar Ortiz Freire; Christian Alexander Lema Guaraca; Pedro Manolo García Sarmiento; Germania Elizabeth Ortiz Freire; Mateo Sebastián García Sarmiento; Ruben Argenis Maldonado Cabrera

doi:10.56294/saludcyt2023389

Case Report

Published: 2023-06-01

DOI: https://doi.org/10.56294/saludcyt2023389

Diagnosis and management of acute pulmonary thromboembolism: case report

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.

Keywords:

Pulmonary embolism,

Alveolar hemorrhage,

Respiratory insufficiency,

Hyperosmolar hiperglycemic state,

How to Cite

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 Apr. 18];3:389. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/389

Copyright Notice

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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