Right Ventricular Dysfunction - Clot in Transit
Caption
38 yo previously-healthy male 8 days s/p ligamentous repair of the knee, presented with dyspnea and chest pain. Physical exam on room air notable for tachypnea (RR 35), hypoxia (O2 sat 89%), and lungs that were clear to auscultation. POCUS revealed intracardiac thrombus with D-sign and McConnell's Sign. Pt received full-dose anticoagulation prior to CTA-PE confirming the suspected diagnosis of PE. He subsequently underwent successful thrombectomy. Stacey Frisch, MD Chief Resident, Emergency Medicine Kings County Hospital/SUNY Downstate @emergenStacey