• J Clin Ultrasound · Oct 2012

    Case Reports

    Sonographic diagnosis of pulmonary embolism with cardiac arrest without major dilation of the right ventricle or direct sign of lower limb venous thrombosis.

    • Giovanni Volpicelli, Alessandro Mussa, and Mauro F Frascisco.
    • Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Torino, Italy. gio.volpicelli@tin.it
    • J Clin Ultrasound. 2012 Oct 1;40(8):529-33.

    AbstractBedside focused echocardiography diagnosis of massive pulmonary embolism during cardiac arrest is mainly based on the detection of a dilated right ventricle, while the lack of compressibility of a deep vein of the lower limbs confirms diagnosis in doubtful cases. We describe a case of unusual sonographic signs in a young woman with cardiac arrest due to massive pulmonary embolism showing spontaneous blood echogenicity in the inferior vena cava ("sludge sign") and nonmodulated ("flat") Doppler waveform in the left lower limb veins, suggesting isolated iliac vein thrombosis.Copyright © 2011 Wiley Periodicals, Inc.

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