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Previous Volume 337:1561-1562 November 20, 1997 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Van der Wouw and Bax (Feb. 6 issue)¹ reported on a woman with massive pulmonary embolism who died five hours after initiation of treatment with tissue plasminogen activator. Recently, a 51-year-old man was admitted to our cardiac care unit. Despite continuous treatment with low-molecular-weight heparin, deep-vein thrombosis had developed in both legs six weeks after surgery on his patella in another hospital. Transthoracic echocardiography showed marked dilatation of the right atrium and ventricle with a peak pulmonary-artery pressure of 60 mm Hg. The left atrium and ventricle were of normal size. As a particular feature, there was . . . [Full Text of this Article]

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