Abstract
Bedside focused echocardiography diagnosis of massive pulmonary embolism during cardiac arrest is mainly based on the detection of a dilated right ventricle, while the lack of compressibility of a deep vein of the lower limbs confirms diagnosis in doubtful cases. We describe a case of unusual sonographic signs in a young woman with cardiac arrest due to massive pulmonary embolism showing spontaneous blood echogenicity in the inferior vena cava ("sludge sign") and nonmodulated ("flat") Doppler waveform in the left lower limb veins, suggesting isolated iliac vein thrombosis.
Copyright © 2011 Wiley Periodicals, Inc.
MeSH terms
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Cerebral Hemorrhage / diagnosis
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Cerebral Hemorrhage / therapy
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Critical Illness
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Dilatation, Pathologic
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Disease Progression
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Echocardiography, Doppler
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Emergency Service, Hospital
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Fatal Outcome
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Female
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Heart Arrest / complications
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Heart Arrest / diagnosis*
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Heart Arrest / therapy
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Heart Ventricles / diagnostic imaging
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Humans
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Iliac Vein / diagnostic imaging*
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Iliac Vein / physiopathology
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Phlebography / methods
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Pulmonary Embolism / complications
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Pulmonary Embolism / diagnostic imaging*
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Pulmonary Embolism / therapy
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Risk Assessment
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Ultrasonography, Doppler, Pulsed
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Venous Thrombosis / diagnostic imaging*
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Young Adult