case_images: PMC8494530_01
case_images: PMC8494530_02
case_images: CTPA prior to thrombolysis with pulmonary embolism present (arrows).
case_images: CRIPU2021-1678528.001.jpg
case_images: PMC8494530_02_CRIPU2021-1678528.001.jpg
case_images: fig1
case_images: Given the history and clinical findings, a computer tomography pulmonary angiogram (CTPA) was performed and confirmed the presence of a saddle PE (Figure 1) with thrombus occluding the right main pulmonary artery, left upper lobe segmental artery, and left interlobar artery.
case_images: CTPA performed four days post thrombolysis with reduction of pulmonary embolism (arrows).
case_images: CRIPU2021-1678528.002.jpg
case_images: PMC8494530_02_CRIPU2021-1678528.002.jpg
case_images: fig2
case_images: A repeat CTPA was performed on the fourth day of admission which revealed a substantial decrease in clot burden, no visible saddle embolus, and reduced right heart strain (Figure 2).
case_images: CTPA performed six months post thrombolysis with resolution of pulmonary embolism (arrows).
case_images: CRIPU2021-1678528.003.jpg
case_images: PMC8494530_02_CRIPU2021-1678528.003.jpg
case_images: fig3
case_images: A CTPA and echocardiogram performed six months post presentation revealed complete resolution of all pathological changes, and rivaroxaban therapy was stopped (Figure 3).