Saddle pulmonary embolism

Case contributed by Abdulmajid Bawazeer
Diagnosis certain

Presentation

sudden onset of severe chest pain and shortness of breath.

Patient Data

Age: 35 years
Gender: Female
ct

There are multiple filling defects seen in both main pulmonary, bilateral lobar and some segmental arteries.
Dilatation of the right ventricle with straightening of the interventricular septum.

 

Case Discussion

Saddle pulmonary embolism is referred to as pulmonary embolism involving both main pulmonary arteries and associated with the right heart strain which may be complicated by acute heart failure, arrhythmias, lung infarction and sadly sudden death.
 

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