Abstract
Pulmonary embolism is a cause of significant morbidity and mortality. Thrombus in transit is defined on ultrasound as mobile echogenic material, temporarily located in the right heart chambers making its way to the pulmonary vasculature, which is highly diagnostic of pulmonary embolism. Point-of-care ultrasound (POCUS) places significant role in early diagnosis of thrombus in transit. Point-of-care ultrasound also avoids the need for subsequent computed tomography angiogram for diagnosis of pulmonary embolism. We present the case of 53-year-old male who presented with shortness of breath and was noted to have sinus tachycardia; thrombus in transit was diagnosed by point-of-care ultrasound and was subsequently confirmed through computer tomography angiogram of the pulmonary artery.
Highlights
Pulmonary embolus (PE), an obstruction of the pulmonary artery or one of it’s main branches supplying the lung parenchyma, account for four-hundred thousand deaths annually [1,2]
We present a case of a 53-year-old male with medical history of hypertension, type II diabetes mellitus, and hyperlipidemia who presented with shortness of breath and dyspnea on exertion
Submassive pulmonary embolism was recognized and the patient was admitted to the medical intensive care unit (MICU) for administration of tissue plasminogen activator
Summary
Pramod Theetha Kariyanna1,#, Jessica Celenza-Salvatore1,#, Apoorva Jayarangaiah, George Jojo Punnakudiyil, Isabel M.
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