Saddle embolus

Case contributed by Dr Ian Bickle

Presentation

Post-operative. Bilateral lower limb oedema. Tachycardia.

Patient Data

Age: 50 years
Gender: Male
CT

Saddle embolus.

Extensive pulmonary emboli in multiple lobar and segmental arteries.

The interventricular septum is straightened in keeping with right heart strain.

Lungs clear.

Case Discussion

Pulmonary emboli don't come any bigger or central than this.  In addition, the bilateral clot burden is extensive.

Such a large clot burden as in this case usually results in right heart strain.

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Case information

rID: 60634
Published: 28th May 2018
Last edited: 14th Aug 2019
System: Chest
Tag: ripas2
Inclusion in quiz mode: Included

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