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McConnell Sign in a Patient with Massive Acute Pulmonary Embolism.

Shafiq Q, Assaly R, Kanjwal Y - Case Rep Cardiol (2011)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA.

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.

No MeSH data available.


Related in: MedlinePlus

CT angiogram of the chest showing bilateral pulmonary emboli (arrows).
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fig1: CT angiogram of the chest showing bilateral pulmonary emboli (arrows).

Mentions: A 48-year-old African American woman was admitted an hour after experiencing a brief syncopal episode at her home. This episode was associated with profuse sweating and lightheadedness. According to the patient's daughter, no seizure-like activity was seen. Patient did not have past medical history of such episodes, seizures, stroke, venous thromboembolic disease, or myocardial infarction. Three weeks ago, she was involved in a motor vehicle accident and sustained a right arm humerus bone fracture and as a result her physical activities were limited since accident. On initial examination, she was hemodynamically stable but was experiencing lightheadedness and moderate respiratory distress due to the resting hypoxia. She required oxygen to maintain her oxygen saturation. No neurological deficits were found on further examination. Considering recent history of limited physical activity and resting hypoxia at the time of presentation, a CT angiogram of the chest was obtained to rule out acute pulmonary embolism which revealed bilateral large pulmonary emboli extending to all major branches (Figure 1).


McConnell Sign in a Patient with Massive Acute Pulmonary Embolism.

Shafiq Q, Assaly R, Kanjwal Y - Case Rep Cardiol (2011)

CT angiogram of the chest showing bilateral pulmonary emboli (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4008391&req=5

fig1: CT angiogram of the chest showing bilateral pulmonary emboli (arrows).
Mentions: A 48-year-old African American woman was admitted an hour after experiencing a brief syncopal episode at her home. This episode was associated with profuse sweating and lightheadedness. According to the patient's daughter, no seizure-like activity was seen. Patient did not have past medical history of such episodes, seizures, stroke, venous thromboembolic disease, or myocardial infarction. Three weeks ago, she was involved in a motor vehicle accident and sustained a right arm humerus bone fracture and as a result her physical activities were limited since accident. On initial examination, she was hemodynamically stable but was experiencing lightheadedness and moderate respiratory distress due to the resting hypoxia. She required oxygen to maintain her oxygen saturation. No neurological deficits were found on further examination. Considering recent history of limited physical activity and resting hypoxia at the time of presentation, a CT angiogram of the chest was obtained to rule out acute pulmonary embolism which revealed bilateral large pulmonary emboli extending to all major branches (Figure 1).

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA.

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.

No MeSH data available.


Related in: MedlinePlus