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McConnell Sign in a Patient with Massive Acute Pulmonary Embolism.

ABSTRACT: A 48-year-old female was admitted after experiencing a brief syncopal episode. Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident. Since the accident, her mobility has been limited. CT angiogram of the chest revealed massive bilateral pulmonary emboli. A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction. Considering potential of hemodynamic instability, the patient received fibrinolytic therapy with Alteplase. A subsequent 2D echocardiogram showed complete resolution of McConnell sign and right ventricle dysfunction.

SUBMITTER: Shafiq Q 

PROVIDER: S-EPMC4008391 | biostudies-literature | 2011

REPOSITORIES: biostudies-literature

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McConnell Sign in a Patient with Massive Acute Pulmonary Embolism.

Shafiq Qaiser Q   Assaly Ragheb R   Kanjwal Yousuf Y  

Case reports in cardiology 20110705

A 48-year-old female was admitted after experiencing a brief syncopal episode. Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident. Since the accident, her mobility has been limited. CT angiogram of the chest revealed massive bilateral pulmonary emboli. A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction. Considering potential of hemodynamic instability, the patient received fibrinolytic thera  ...[more]

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