Volume 24, Issue 104, July - August, 2020

Acute Pulmonary Embolism (PE) with Acute Cor-Pulmonale treated successfully by Catheter Directed Fibrinolysis (CDF)

Swapnil Lahole¹, Sourya Acharya^2♦, Amol Andhale¹, Prasad Takey³

¹Resident, Dept. of Medicine, DMIMSU (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
²Professor, Dept. of Medicine, DMIMSU (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
³Resident, Dept. of Radiology, DMIMSU (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India

^♦Corresponding author
Professor, Dept. of Medicine, DMIMSU (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India; Email: souryaacharya74@gmail.com

ABSTRACT

Acute pulmonary embolism (PE) is a variant of venous thromboembolism which in some cases may be fatal if not treated promptly. A high index of suspicion is required to diagnose PE in an appropriate clinical setting. Diagnostic approach usually starts with a quantitative D-Dimer assay. CT pulmonary angiography usually confirms the diagnosis. Treatment modalities for acute pulmonary embolism are ranges from systemic thrombolysis to surgical embolectomy. Now a days, catheter based revascularization procedures are emerging as substitute of systemic thrombolysis/surgical embolectomy in intermediate and high risk cases. Ultrasound-assisted catheter-directed thrombolysis (UACDT) is an emerging and evidence based modality in the treatment of pulmonary embolism. We describe a case of a 40 year old hyperhomocysteinemic male with deep vein thrombosis and submasssive PE who presented with acute Cor-Pulmonale and was successfully treated with catheter directed thrombolysis.

Keywords: PE, thrombolysis, embolectomy, surgical, cor-pulmonale

Medical Science, 2020, 24(104), 2727-2731

PDF