Work

Saddle Pulmonary Embolism

Year: 2025

Type: article

Abstract: IMAGES: Saddle pulmonary embolism on transesophageal echocardiogram. CASE SUMMARY: Transthoracic echocardiography is used frequently in the management of pulmonary embolism, but transesophageal studies are seldom used in this context. In this case, we describe a saddle pulmonary embolism which was incidentally discovered on transesophageal echocardiography prior to synchronized cardioversion and subsequently prompted successful percutaneous mechanical thrombectomy. TAKE-HOME MESSAGES: Echocardiographers should remain aware of the close proximity between the left atrial appendage and main pulmonary artery to catch incidental findings. Examination of the pulmonary artery bifurcation was successfully performed in this case in the mid-esophageal position at approximately 0-degrees with anteflexion.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106305

Authors: Abhinav R. Thummala, John M. Moriarty, Eric H. Yang, Sami J. Natour

Institution: University of California, Los Angeles

Language: English

Topic: Venous Thromboembolism Diagnosis and Management

Subfield: Internal Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850