SUCCESSFUL TREATMENT OF MASSIVE PULMONARY EMBOLISM WITH CARDIOGENIC SHOCK AS A FIRST MANIFESTATION OF COVID-19 INFECTION
Journal
Macedonian Journal of Anaesthesia
Date Issued
2021-03-01
Author(s)
Grueva E
Kandic E
Abstract
COVID-19 infected patients have increased the risk for thromboembolic complications
which can cause many organ dysfunctions that leads to premature patient’s mortality (1). Our
patient was admitted because of sudden chest pain and shortness of breath. In order to establish
the cause of hemodynamic instability urgent bed site echocardiography was performed with
showed indirect signs of pulmonary embolism with right ventricular dysfunction. Pulmonary CT
angiography showed the presence of massive pulmonary embolism (PE) which was complicated
by right ventricular dysfunction and hemodynamic instability. The patient was successfully treat-
ed with fibrinolysis. The PCR analysis was positive for COVID-19. This is case of pulmonary
embolism complicated with cardiogenic shock as a first manifestation of COVID-19 – infection
at our clinic since the start of the pandemic.
which can cause many organ dysfunctions that leads to premature patient’s mortality (1). Our
patient was admitted because of sudden chest pain and shortness of breath. In order to establish
the cause of hemodynamic instability urgent bed site echocardiography was performed with
showed indirect signs of pulmonary embolism with right ventricular dysfunction. Pulmonary CT
angiography showed the presence of massive pulmonary embolism (PE) which was complicated
by right ventricular dysfunction and hemodynamic instability. The patient was successfully treat-
ed with fibrinolysis. The PCR analysis was positive for COVID-19. This is case of pulmonary
embolism complicated with cardiogenic shock as a first manifestation of COVID-19 – infection
at our clinic since the start of the pandemic.
File(s)![Thumbnail Image]()
Loading...
Name
MJA 5-1 fin-1.pdf
Size
6.07 MB
Format
Adobe PDF
Checksum
(MD5):35e5b09cfd07a953cb25b4a2654ef01d