open access

Vol 68, No 10 (2010)
Chorzy trudni nietypowi
Published online: 2010-10-22
Submitted: 2012-12-28
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Acute intermediate-risk pulmonary embolism with right-sided free-floating intracardiac thrombus, systemic inflammatory reaction syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation and acute ischaemia of a limb

Paweł Grzelakowski, Tomasz Ługowski, Marcin Kurzyna, Maurycy Missima, Michał Maciejewski, Marek Balcerzak, Robert Romanek, Marek Stelak, Andrzej Ługowski, Aleksander Goch
Kardiol Pol 2010;68(10):1140-1144.

open access

Vol 68, No 10 (2010)
Chorzy trudni nietypowi
Published online: 2010-10-22
Submitted: 2012-12-28

Abstract

A case of a 64 year-old woman admitted to ICCU because of severe dyspnoea and oedema of left lower limb is presented. We diagnosed coincidence of acute pulmonary embolism with right-sided free-floating heart thrombi, systemic inflammatory reaction syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation and acute ischaemia of the right lower limb. Due to atypical clinical presentation therapeutic strategies were discussed with ZATPOL registry coordinator. The patient was treated pharmacologically, underwent cardiosurgical evacuation of right-sided intracardiac thrombus and lower limb amputation. At follow up visit 6 months after discharge from hospital she was in good general condition with no complaints.
Kardiol Pol 2010; 68, 10: 1140-1144

Abstract

A case of a 64 year-old woman admitted to ICCU because of severe dyspnoea and oedema of left lower limb is presented. We diagnosed coincidence of acute pulmonary embolism with right-sided free-floating heart thrombi, systemic inflammatory reaction syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation and acute ischaemia of the right lower limb. Due to atypical clinical presentation therapeutic strategies were discussed with ZATPOL registry coordinator. The patient was treated pharmacologically, underwent cardiosurgical evacuation of right-sided intracardiac thrombus and lower limb amputation. At follow up visit 6 months after discharge from hospital she was in good general condition with no complaints.
Kardiol Pol 2010; 68, 10: 1140-1144
Get Citation

Keywords

pulmonary embolism; free-floating heart thrombi; SIRS; DIC; MODS

About this article
Title

Acute intermediate-risk pulmonary embolism with right-sided free-floating intracardiac thrombus, systemic inflammatory reaction syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation and acute ischaemia of a limb

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 68, No 10 (2010)

Pages

1140-1144

Published online

2010-10-22

Bibliographic record

Kardiol Pol 2010;68(10):1140-1144.

Keywords

pulmonary embolism
free-floating heart thrombi
SIRS
DIC
MODS

Authors

Paweł Grzelakowski
Tomasz Ługowski
Marcin Kurzyna
Maurycy Missima
Michał Maciejewski
Marek Balcerzak
Robert Romanek
Marek Stelak
Andrzej Ługowski
Aleksander Goch

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