McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

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...

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Main Authors: Qaiser Shafiq, Ragheb Assaly, Yousuf Kanjwal
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2011/201097
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author Qaiser Shafiq
Ragheb Assaly
Yousuf Kanjwal
author_facet Qaiser Shafiq
Ragheb Assaly
Yousuf Kanjwal
author_sort Qaiser Shafiq
collection DOAJ
description 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.
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series Case Reports in Cardiology
spelling doaj-art-1f0d883591734b75bbb14bed3ae4bae92025-02-03T01:27:09ZengWileyCase Reports in Cardiology2090-64042090-64122011-01-01201110.1155/2011/201097201097McConnell Sign in a Patient with Massive Acute Pulmonary EmbolismQaiser Shafiq0Ragheb Assaly1Yousuf Kanjwal2Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USAPulmonary and Critical Care Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USACardiology Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USAA 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.http://dx.doi.org/10.1155/2011/201097
spellingShingle Qaiser Shafiq
Ragheb Assaly
Yousuf Kanjwal
McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
Case Reports in Cardiology
title McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
title_full McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
title_fullStr McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
title_full_unstemmed McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
title_short McConnell Sign in a Patient with Massive Acute Pulmonary Embolism
title_sort mcconnell sign in a patient with massive acute pulmonary embolism
url http://dx.doi.org/10.1155/2011/201097
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AT raghebassaly mcconnellsigninapatientwithmassiveacutepulmonaryembolism
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