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Small Left Atrium: An Adjunctive Sign of Hemodynamically Compromised Massive Pulmonary Embolism
Yukihiro Hama,Tadayuki Yakushiji,Yoshie Iwasaki,Tatsumi Kaji,Naoei Isomura,Shoichi Kusano 연세대학교의과대학 2005 Yonsei medical journal Vol.46 No.5
Pulmonary embolism (PE) is a common disease with a high mortality rate due to right ventricular dysfunction and underfilling of the left ventricle. We present a case of a 33-year-old man with hemodynamically compromised massive PE. His left atrium was collapsed with marked dilatation of the right atrium and ventricle on multi-detector-row CT scans. The patient was treated with an intracatheter injection of a mutant tissue-type plasminogen activator and subsequently showed clinical and radiological improvements. The small left atrial size in combination with a right ventricular pressure overload was considered to be an adjunctive sign of hemodynamically compromised massive PE.