RESUMO
A 32 yrs old man presented with shortness of breath and syncopal episode with preceding history of DVT 15days above. Patient has tachycardia hypoxia and hypotension, on evaluation ECG Showed S1 Q3 T3 Pattern, bedside Echo Showed visible thrombus of 3cm in pulmonary artery, successfully thrombolysed with tenecteplase and streptokinase. This case study is presented to stress importance of urgent bedside echo in all sudden onset dysponea and hypoxia to rule out pulmonary Embolism which can be successfully thrombolysed without delay.
Assuntos
Dispneia/etiologia , Fibrinolíticos/uso terapêutico , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/tratamento farmacológico , Estreptoquinase/uso terapêutico , Trombose/diagnóstico por imagem , Ativador de Plasminogênio Tecidual/uso terapêutico , Adulto , Ecocardiografia , Humanos , Hipotensão/etiologia , Masculino , Artéria Pulmonar/diagnóstico por imagem , Síncope/etiologia , Taquicardia/etiologia , Tenecteplase , Terapia Trombolítica , Trombose/tratamento farmacológico , Trombose Venosa/tratamento farmacológicoRESUMO
We present a case of recurrent highly symptomatic atrial tachycardia. During electrophysiology (EP) study, this was found to arise close to the AV node. To avoid conduction system damage by radiofrequency (RF) ablation, the aortic cusps were mapped. The tachycardia focus was close to the non-coronary cusp and ablated safely and successfully from this site.
Assuntos
Aorta/cirurgia , Ablação por Cateter/métodos , Taquicardia Atrial Ectópica/cirurgia , Idoso , Eletrocardiografia , Feminino , Humanos , Taquicardia Atrial Ectópica/fisiopatologiaRESUMO
In tetralogy of Fallot septal defect is usually large because of malalignment of outlet septum, restrictive defect has been reported rarely. We present a case of tetralogy of Fallot with accessory tricuspid leaflet tissue restricting ventricular septal defect. The report includes echocardiographic and catheter images of this rare presentation of tetralogy of Fallot.