McConnell Sign in a Patient with Massive Acute Pulmonary Embolism | Zendy

Qaiser Shafiq | Zendy; Ragheb Assaly | Zendy; Yousuf Kanjwal | Zendy

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McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

Author(s) -

Qaiser Shafiq,

Ragheb Assaly,

Yousuf Kanjwal

Publication year - 2011

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2011/201097

Subject(s) - medicine , ventricle , pulmonary embolism , transthoracic echocardiogram , cardiology , emergency department , sign (mathematics) , radiology , mathematical analysis , mathematics , psychiatry

A 48-year-old female was admitted after experiencing a brief syncopal episode. Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident. Since the accident, her mobility has been limited. CT angiogram of the chest revealed massive bilateral pulmonary emboli. A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction. Considering potential of hemodynamic instability, the patient received fibrinolytic therapy with Alteplase. A subsequent 2D echocardiogram showed complete resolution of McConnell sign and right ventricle dysfunction.

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