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An 85-year-old woman was admitted with progressive dyspnea and chest pain that had started suddenly 2 days earlier. Physical examination revealed formerly undiagnosed atrial fibrillation with a normal heart rate and normal blood pressure. Examination of the lungs did not show any pathological findings. Pulmonary embolism was diagnosed on spiral computed tomography (Panel A, sagittal reconstruction), which showed intraluminal filling defects (arrows) and total occlusions of the upper and lower segmental arteries by clots (arrowheads). Duplex ultrasonography revealed an underlying deep-vein thrombosis of the right superficial femoral vein. Transthoracic echocardiography showed typical signs of moderate right heart strain. Anticoagulation therapy . . . [Full Text of this Article] |
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