Trivial Complaint in an Eisenmenger Syndrome Patient: A Case Report

Abstract

Acute pulmonary embolism (PE) is a life-threatening cardiorespiratory condition. Shortness of breath and cyanosis in an active daily living patient with Eisenmenger Syndrome (ES) obscuring the early diagnosis of acute PE. We reported a case of a 41-year-old lady with underlying Eisenmenger syndrome presented to Emergency Department with sudden onset of palpitation. Otherwise, she did not complain of any worsening shortness of breath or reduced effort tolerance. Compensation of the heart causing normalization of the blood pressure in ES may mask the features of massive PE and make it more challenging in managing this kind of patient. However, with the complaint of acute onset palpitation trigger the managing team to think about PE. Computed Tomography Pulmonary Angiography (CTPA) had done, and there were significant blood clots in the right main pulmonary artery. Luckily, she survived after thrombolytic therapy, warded a few days, and discharge well with a life-long oral anticoagulant.