Interv Akut Kardiol. 2017;16(3):124-127 | DOI: 10.36290/kar.2017.016

Acute pulmonary embolism in a patient with aortic dissection of unknown date

Nikoleta Filyóová¹, Karel Lábr¹, Vladimír Kincl^{1, 2}, Jiří Seménka¹, Marta Pažourková³, Olga Pokorná⁴

1I. interní kardioangiologická klinika FN u sv. Anny a LF MU, Brno

2ICRC, Mezinárodní centrum klinického výzkumu, FN u sv. Anny, Brno

3Klinika zobrazovacích metod, FN u sv. Anny a LF MU, Brno

4Centrum kardiovaskulární a transplantační chirurgie, Brno

Pulmonary embolism is a relatively common disease. The case report of simultaneous pulmonary embolism and aortic dissectionis presented. Although the pulmonary embolism is more frequently treated non-invasively (anticoagulants or thrombolysis), inour patient a surgical treatment was chosen because of the extent of the emboli. A massive pulmonary embolism that occludedthe pulmonary artery bilaterally was described on pulmonary angiography. The aortic dissection type B is often managed withusing endovascular treatment, but in this case a conservative approach was chosen because the dissection very probably wasn´ta new condition. The dissection was diagnosed as coincidental with minimal manifestation.

Keywords: pulmonary embolism, embolectomy, aortic dissection

Received: April 18, 2017; Accepted: October 12, 2017; Published: November 1, 2017  Show citation