• Am J Emerg Med · Aug 2021

    Case Reports

    "Swirling right ventricular" sign as a marker of right ventricular dysfunction in two patients with submassive pulmonary embolism.

    • Tobias Kummer and Arun Nagdev.
    • Department of Emergency Medicine, Mayo Clinic, Rochester, MN, United States of America. Electronic address: Kummer.Tobias@mayo.edu.
    • Am J Emerg Med. 2021 Aug 1; 46: 107-108.

    AbstractAssessing the right ventricular function in patients with submassive pulmonary embolism (PE) is pivotal when determining the appropriate treatment pathway. We describe two cases of submassive PE requiring systemic thrombolysis, in which intravenous saline contrast demonstrated a noticeable lack of forward flow in the right ventricle. This technique potentially may indicate impending right ventricular functional collapse and the need for more aggressive intervention.Copyright © 2021. Published by Elsevier Inc.

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