case_images: PMC3327015_01
case_images: Echocardiogram: parasternal short-axis view at the base of the heart with color Doppler showing thrombus in the right pulmonary artery
case_images: APC-5-44-g001.jpg
case_images: PMC3327015_01_APC-5-44-g001.jpg
case_images: F1
case_images: The flow to the left pulmonary artery was sluggish [Figure 1].
case_images: CT angiogram showing acute pulmonary thrombus involving the right and left pulmonary arteries with nonvisualization of their branches (marked by red color arrows)
case_images: APC-5-44-g002.jpg
case_images: PMC3327015_01_APC-5-44-g002.jpg
case_images: F2
case_images: A CT scan of the chest with angiography confirmed the presence of a thrombus completely occluding the right pulmonary artery and the lobar branches of the left pulmonary artery [Figure 2].
case_images: Echocardiogram with color Doppler after thrombolytic therapy; the thrombus is dissolved with normal pulmonary artery flow
case_images: APC-5-44-g003.jpg
case_images: PMC3327015_01_APC-5-44-g003.jpg
case_images: F3
case_images: Serial echocardiograms demonstrated completely dissolved thrombi in both the pulmonary arteries with normalization of pulmonary pressure and left to right shunt across the ASD at the end of 36 hours [Figure 3].
case_images: Post-thrombolytic therapy pulmonary perfusion scan - residual segmental perfusion defects involving the apical segment of the right lower lobe and inferior lingual segment of the left lung
case_images: APC-5-44-g004.jpg
case_images: PMC3327015_01_APC-5-44-g004.jpg
case_images: F4
case_images: Prior to discharge, a lung perfusion scan was obtained which showed patchy residual segmental perfusion defects in both the lung fields [Figure 4].
case_images: PMC3327015_02
case_images: Echocardiogram showing thrombus in the left pulmonary artery with some antegrade flow in it
case_images: APC-5-44-g005.jpg
case_images: PMC3327015_02_APC-5-44-g005.jpg
case_images: F5
case_images: There was a single thrombus (3 x 5 mm) in the proximal left pulmonary artery with slightly decreased distal flow [Figure 5].
case_images: Chest CT angiogram showing thrombus in the left pulmonary artery
case_images: APC-5-44-g006.jpg
case_images: PMC3327015_02_APC-5-44-g006.jpg
case_images: F6
case_images: A chest CT with angiogram confirmed this [Figure 6].