case_images: PMC4008391_01
case_images: CT angiogram of the chest showing bilateral pulmonary emboli (arrows).
case_images: CRIM.CARDIOLOGY2011-201097.001.jpg
case_images: PMC4008391_01_CRIM.CARDIOLOGY2011-201097.001.jpg
case_images: fig1
case_images: Considering recent history of limited physical activity and resting hypoxia at the time of presentation, a CT angiogram of the chest was obtained to rule out acute pulmonary embolism which revealed bilateral large pulmonary emboli extending to all major branches (Figure 1).
case_images: Prethrombolytic therapy transthoracic 2D echocardiogram showing marked hypokinesia of the right ventricle mid-free wall in end-systole (a) and end-diastole (b) while the right ventricle apex is spared (arrows). Postthrombolytic therapy transthoracic 2D echocardiogram showing complete resolution of right ventricular mid-free wall hypokinesia in end-systole (c) and end-diastole (d).
case_images: CRIM.CARDIOLOGY2011-201097.002.jpg
case_images: PMC4008391_01_CRIM.CARDIOLOGY2011-201097.002.jpg
case_images: fig2
case_images: An immediate transthoracic 2D echocardiogram was performed to assess right ventricular function which demonstrated right ventricular dysfunction and a specific echocardiographic sign known as McConnell sign (Figures 2(a) and 2(b); Supplementary Video A available online at doi:10.1155/2011/201097). Two days later, a repeat 2D echocardiogram demonstrated complete resolution of right ventricular dysfunction and McConnell sign (Figures 2(c) and 2(d); Supplementary Video B).