Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling.
Domenico FilomenaSara MonosilioMichele SanninoSara CiminoViviana MaestriniEmanuele BrunoFabio MiraldiFrancesco FedeleCarmine Dario VizzaLuciano AgatiPublished in: Echocardiography (Mount Kisco, N.Y.) (2022)
A 43-year-old Caucasian man was admitted to hospital due to shortness of breath, right lumbar pain and lower left limb swelling. Arterial blood gas sample showed mild hypoxemia and respiratory alkalosis. CT scan confirmed pulmonary embolism, splenic and bilateral renal ischemic lesions. Echocardiography showed right ventricular and coronary sinus (CS) dilatation. Using contrast echocardiography, a superior sinus venous atrial septal defect and persistent left superior vena cava (PLSVC) draining in CS were suspected. Cardiac CT confirmed the diagnosis and showed overriding right superior vena cava (RSVC) draining in both atria. The patient underwent successful surgical correction.
Keyphrases
- vena cava
- pulmonary embolism
- inferior vena cava
- computed tomography
- left ventricular
- dual energy
- contrast enhanced
- chronic pain
- case report
- image quality
- minimally invasive
- pain management
- neuropathic pain
- positron emission tomography
- pulmonary hypertension
- magnetic resonance imaging
- magnetic resonance
- coronary artery disease
- coronary artery
- healthcare
- heart failure
- atrial fibrillation
- aortic stenosis
- oxidative stress
- ischemia reperfusion injury
- catheter ablation
- middle aged
- adverse drug
- electronic health record
- subarachnoid hemorrhage