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Case report
Pulmonary embolism with aortic saddle embolism: a rare presentation
  1. Naveen Rajendra,
  2. Radhakrishnan Raju,
  3. Pranay Pawar and
  4. Jithin Sebastian
  1. Department of Vascular Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, India
  1. Correspondence to Dr Naveen Rajendra; naveenrajendra{at}gmail.com

Abstract

We present an uncommon case report of simultaneous pulmonary embolism and aortic saddle embolism. This patient had risk factors for thromboembolic events that included recent surgery for tibia fracture and immobilisation. She underwent emergency bilateral pulmonary artery catheter-directed thrombolysis, followed by bilateral transfemoral embolectomy. The potential benefit of thrombolysis was weighed against the risk of haemorrhage during the surgery after thrombolysis. Treatment guidelines are not well established for such a condition. This case report illustrates our experience and challenges faced in treating this condition.

  • trauma
  • vascular surgery
  • interventional cardiology
  • venous thromboembolism

https://doi.org/10.1136/bcr-2020-237024

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    Footnotes

    • Contributors NR: the author of the article who also worked up the case, assisted the surgery and took care of the post operative course. RR: is the primary surgeon of the case and also the co author, provided his guidance for writing up this article. PP: played a part in the work up and was the assistant for the surgery, also provided his inputs. JJS: was the assistant for the surgery, provided his inputs during management.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.