Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge
Venous thromboembolic disease is an important cause of mortality worldwide. A widely recognized risk factor is active neoplasia, mainly hematological tumors, in which associated thrombocytopenia can be a frequent complication. We present the case of a patient with submassive pulmonary thromboembolis...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/1919401 |
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| _version_ | 1832549623801053184 |
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| author | Ronni Andrea Muñoz Tovar Luis Carlos Alvarez Perdomo Sandra Milena Rojas Molina Silvana Jimenez Salazar |
| author_facet | Ronni Andrea Muñoz Tovar Luis Carlos Alvarez Perdomo Sandra Milena Rojas Molina Silvana Jimenez Salazar |
| author_sort | Ronni Andrea Muñoz Tovar |
| collection | DOAJ |
| description | Venous thromboembolic disease is an important cause of mortality worldwide. A widely recognized risk factor is active neoplasia, mainly hematological tumors, in which associated thrombocytopenia can be a frequent complication. We present the case of a patient with submassive pulmonary thromboembolism associated with severe thrombocytopenia with signs of right heart failure and a requirement for systemic thrombolysis and anticoagulation, however with absolute contraindication for them. The case establishes a therapeutic challenge for the treating group, leading us to carry out an extensive search of the literature and propose a management algorithm in this complex situation. |
| format | Article |
| id | doaj-art-f7bfaf6c6cc94ad4a51e2b4770d74f50 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-f7bfaf6c6cc94ad4a51e2b4770d74f502025-02-03T06:10:53ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/19194011919401Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic ChallengeRonni Andrea Muñoz Tovar0Luis Carlos Alvarez Perdomo1Sandra Milena Rojas Molina2Silvana Jimenez Salazar3Critical Care, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Huila, ColombiaInternal Medicine, Hospital Universitario Hernando Moncaleano Perdomo, Neiva, Huila, ColombiaEpidemiology, Surgery, Universidad Surcolombiana, Neiva Huila, ColombiaInternal Medicine, Universidad Surcolombiana, Neiva Huila, ColombiaVenous thromboembolic disease is an important cause of mortality worldwide. A widely recognized risk factor is active neoplasia, mainly hematological tumors, in which associated thrombocytopenia can be a frequent complication. We present the case of a patient with submassive pulmonary thromboembolism associated with severe thrombocytopenia with signs of right heart failure and a requirement for systemic thrombolysis and anticoagulation, however with absolute contraindication for them. The case establishes a therapeutic challenge for the treating group, leading us to carry out an extensive search of the literature and propose a management algorithm in this complex situation.http://dx.doi.org/10.1155/2019/1919401 |
| spellingShingle | Ronni Andrea Muñoz Tovar Luis Carlos Alvarez Perdomo Sandra Milena Rojas Molina Silvana Jimenez Salazar Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge Case Reports in Critical Care |
| title | Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge |
| title_full | Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge |
| title_fullStr | Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge |
| title_full_unstemmed | Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge |
| title_short | Submassive Pulmonary Thromboembolism in a Patient with Thrombocytopenia: Therapeutic Challenge |
| title_sort | submassive pulmonary thromboembolism in a patient with thrombocytopenia therapeutic challenge |
| url | http://dx.doi.org/10.1155/2019/1919401 |
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