[HSF] Pulmonary embolism-RV dysfunction

[Justin Chan]

Actually reconsidering my response I realised that putting in an IVC
filter in the face of large bilateral iliac DVT might not be such a
good idea....

Justin

On 8/2/07, Justin Chan <chanju at gmail.com> wrote:
> Hi Dr Del,
>
> Need more information - what is the degree of RV dysfunction? CVP, PA
> pressures, echo?
>
> In my opinion (which is very junior), she should be offered an IVC
> filter and anticoagulation, but in the absence of major haemodynamic
> compromise would not offer embolectomy.
>
> She should also be screened for procoagulable states-protein C, S,
> factor V leiden, antithrombin III etc
>
> I would be interested to hear how you proceed.
>
> Regards,
> Justin
>
>
> On 8/2/07, yadav del <yadavluck at yahoo.com> wrote:
> >
> >
> >    25 yrs old   female developed pulmonary embolism on 2 nd post op day after repair of incisional hernia. CT scan showed emboli at both hila .Only left lower lobe artery is spared from emboli. Duplex scan showed bilateral ilio- femoral dvt. She iss haemodynamically stable. Saturation   94% with out oxygen and 98% on 2litres oxygen. Echo showed RV dysfunction.
> >
> >   Should she be   offered pulmonary embolectomy in view of RV  dysfunction ?
> >
> >
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