Background
Venous thromboembolism clinically manifested as deep vein thrombosis or
pulmonary embolism[1, 2]. It is globally the third
major cause of acute cardiovascular death[2] as a
major health problem. Rapid and accurate diagnosis is crucial for the
clinical management of patients with acute pulmonary embolism (APE).
However, APE encompasses a wide clinical spectrum of
severity[3, 4], ranging from asymptomatic disease
to hemodynamic instability and shock. Due to the nonspecifific clinical
signs and symptoms, a diagnosis of APE is frequently extremely
challenging[3].
In patients with suspected PE, multidetector
computed tomographic pulmonary
angiography (CTPA) is the preferred method for imaging the pulmonary
vasculature[1].Echocardiography examination is not
a routine diagnostic procedure in hemodynamic stable APE
patients[5], but might detect an increase in right
ventricular wall thickness or a jet velocity of tricuspid insufficiency
beyond values compatible with acute right ventricular pressure
overload[6].In addition to these indirect signs,
emboli in the pulmonary artery may occasionally be found in certain
nonstandard echocardiographic views[1].Herein, we
report 1 case of intermediate-risk APE patient with visualized pulmonary
arterial thrombus by transthoracic echocardiography.