A 68-Year-Old Man Presenting to the ER with Sudden Dyspnea, A Rare Case of Snowstorm View in the Right Ventricle during Echocardiography

Abstract

Pulmonary Thromboembolism (PTE) is a fatal condition and the third leading cause of hospital-related deaths. We present a case of acute PTE in a 68 year-old man with dyspnea. Patient had a history of bone malignancy. Bedside echocardiography revealed snowstorm view in the right ventricle. Patient was treated with 10 units reteplase intravenous bolus. Echocardiography was repeated and no signs of snowstorm view were detected. Finally, patient died of cardiogenic shock and massive PTE. In this case we report snowstorm view during echocardiography which is rare and should be considered in clinical assessment of PTE.