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Cleveland Clinic Journal of Medicine Nov 2018
Topics: Aged; Humans; Lung; Male; Pulmonary Embolism; Pulmonary Infarction
PubMed: 30395526
DOI: 10.3949/ccjm.85a.17132 -
A.M.A. Archives of Internal Medicine Feb 1956
Topics: Humans; Infarction; Lung; Mumps; Pulmonary Infarction
PubMed: 13282529
DOI: 10.1001/archinte.1956.00250200125010 -
BMJ Case Reports May 2018A 59-year-old woman presented with a sudden onset of breathlessness and chest pain. An echocardiography and CT scan showed pulmonary embolism and infarction with a...
A 59-year-old woman presented with a sudden onset of breathlessness and chest pain. An echocardiography and CT scan showed pulmonary embolism and infarction with a paradoxical thrombus visualised in both atria. For haemodynamically stable patients, the optimal management strategy is poorly defined. Three main strategies were considered: surgical thrombectomy, thrombolysis and anticoagulation. Surgery with reversal of anticoagulation may lead to further coagulation and increased risk of bleeding complications. The significant pulmonary hypertension and right ventricular infarction raised the prospect of difficult weaning from cardiopulmonary bypass following thrombectomy. Thrombolysis, which has significant mortality rate, and systemic embolisation including pulmonary infarction with haemorrhagic transformation were also contraindications. A multidisciplinary approach was adopted and anticoagulation was therefore believed to be the safest and effective approach. Here, the use of anticoagulation alone was fortunately successful but could as easily end in disaster. This approach should be considered the ideal paradigm to yield optimum outcomes.
Topics: Anticoagulants; Computed Tomography Angiography; Drug Therapy, Combination; Embolism, Paradoxical; Female; Heart Atria; Heart Diseases; Heparin; Humans; Middle Aged; Pulmonary Embolism; Pulmonary Infarction; Thrombosis; Treatment Outcome; Warfarin
PubMed: 29848540
DOI: 10.1136/bcr-2018-225195 -
International Heart Journal Sep 2021A 20-year-old man with arrhythmogenic right ventricular cardiomyopathy (ARVC) was resuscitated from ventricular fibrillation. He was transferred to our hospital because...
A 20-year-old man with arrhythmogenic right ventricular cardiomyopathy (ARVC) was resuscitated from ventricular fibrillation. He was transferred to our hospital because of progressive multiorgan dysfunction despite mechanical circulatory support with peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) and intra-aortic balloon pump (IABP). At admission to our hospital, chest X-ray showed bilateral complete lung opacification, and echocardiography revealed a massive thrombus occupying the left atrium (LA) and left ventricle (LV). Conversion to central ECMO with transapical LV venting and thrombectomy were performed. The huge LA thrombus occluded all pulmonary veins (PVs). Despite the surgery and intensive care, complete lung opacity remained, and he died of multiorgan failure associated with sepsis. Autopsy demonstrated bilateral pulmonary multiple red infarctions, and histopathology showed alveolar wall necrosis with extensive hemorrhage, confirming a diagnosis of pulmonary hemorrhagic infarction. Extensive pulmonary infarction was attributable to PV occlusion due to massive LA thrombus. PV thrombosis should be considered when refractory lung opacities are encountered during VA-ECMO and necessitates early intervention.
Topics: Arrhythmogenic Right Ventricular Dysplasia; Autopsy; Echocardiography; Extracorporeal Membrane Oxygenation; Fatal Outcome; Heart Atria; Heart Ventricles; Hemorrhage; Humans; Intra-Aortic Balloon Pumping; Male; Multiple Organ Failure; Pulmonary Infarction; Pulmonary Veins; Pulmonary Veno-Occlusive Disease; Resuscitation; Sepsis; Thrombectomy; Thrombosis; Ventricular Fibrillation; Young Adult
PubMed: 34544989
DOI: 10.1536/ihj.21-226 -
International Journal of Legal Medicine Sep 2020Pulmonary thromboembolism may be accompanied by pulmonary infarction. Even though pulmonary thromboembolism (PTE) is a frequently found cause of death at autopsy,...
Pulmonary thromboembolism may be accompanied by pulmonary infarction. Even though pulmonary thromboembolism (PTE) is a frequently found cause of death at autopsy, pulmonary infarction accompanying PTE is a less common finding and may therefore easily be misinterpreted as infectious or cancerous lung disease. Appearance of pulmonary infarction in post-mortem imaging and acquisition parameters helping to identify pulmonary infarctions are not described yet. Based on a case of a 50-year-old man who died due to PTE and presented pulmonary infarction, we suggest using a pulmonary algorithm in post-mortem computed tomography combined with post-mortem magnetic resonance imaging of the lungs using conventional T1- and T2-weighted sequences.
Topics: Autopsy; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Pulmonary Embolism; Pulmonary Infarction; Tomography, X-Ray Computed
PubMed: 32239316
DOI: 10.1007/s00414-020-02273-5 -
Disease-a-month : DM Jan 1959
Topics: Arteries; Humans; Infarction; Pulmonary Artery; Pulmonary Embolism; Thrombosis
PubMed: 13619309
DOI: 10.1016/s0011-5029(59)80010-9 -
Respiratory Care May 2011
Topics: Diagnosis, Differential; Female; Humans; Klebsiella Infections; Klebsiella pneumoniae; Lung Abscess; Middle Aged; Pulmonary Infarction; Sputum; Tomography, X-Ray Computed
PubMed: 21276286
DOI: 10.4187/respcare.00828 -
The American Journal of Roentgenology,... Jan 1974
Topics: Angiography; Bronchial Neoplasms; Bronchography; Carcinoma, Bronchogenic; Humans; Infarction; Iodine Radioisotopes; Lung; Lung Neoplasms; Male; Middle Aged; Pulmonary Artery; Pulmonary Circulation; Radionuclide Imaging; Serum Albumin, Radio-Iodinated
PubMed: 4810291
DOI: 10.2214/ajr.120.1.145 -
Diseases of the Chest Jan 1965
Topics: Adenocarcinoma, Bronchiolo-Alveolar; Carcinoma; Carcinoma, Squamous Cell; Cicatrix; Geriatrics; Humans; Lung Neoplasms; Neoplasms; Pathology; Pulmonary Embolism; Pulmonary Infarction
PubMed: 14254160
DOI: 10.1378/chest.47.1.36 -
BMJ Case Reports Dec 2023A case is presented where a patient with Eisenmenger's syndrome is successfully treated for infection of chronic pulmonary arterial thrombosis with good effect. The...
A case is presented where a patient with Eisenmenger's syndrome is successfully treated for infection of chronic pulmonary arterial thrombosis with good effect. The evidence for antibiotic and anticoagulant therapy in this patient group is discussed.
Topics: Humans; Eisenmenger Complex; Hypertension, Pulmonary; Pulmonary Infarction; Lung; Thrombosis
PubMed: 38081742
DOI: 10.1136/bcr-2023-257803