Right Ventricular Dysfunction - The D-Sign in Acute PE
Caption
A 70 year old female patient presented with complaints of acute dyspnea. Oxygen saturation was 86% on room-air improved with O2-supplementation. She had poor hemodynamics with SBP ~ 100 mmHg. POCUS showed obvious right heart strain with a D-sign and thrombus intermittently visualized in the right ventricle. Correct therapy (thrombolytics) were given almost straight away after presentation in the ED because POCUS was available. Once stabilized, the patient was taken for a CTA chest which demonstrated a saddle embolism. Dr. Van Roosmalen