case_images: PMC5884296_01
case_images: Transthoracic echocardiogram obtained before administration of t-PA: apical views showing a severely dilated right ventricle (RV) with reduced right ventricular systolic function. RV free wall is hypokinetic and RV apical wall is hypercontractile (arrow; McConnell sign). Left ventricular size and systolic function are normal.
case_images: CRICC2018-7986087.001.jpg
case_images: PMC5884296_01_CRICC2018-7986087.001.jpg
case_images: fig1
case_images: These findings were suggestive of a massive PE (Figure 1 and videos 1, 2).
case_images: Transthoracic echocardiogram 24 hours after t-PA administration: showing improvement in RV size (arrow) and function but still dilated.
case_images: CRICC2018-7986087.002.jpg
case_images: PMC5884296_01_CRICC2018-7986087.002.jpg
case_images: fig2
case_images: These findings were suggestive of a massive PE (Figure 1 and videos 1, 2). Repeat echocardiogram the next day showed improvement in RV size and function (Figure 2 and video 3).
case_images: CT angiogram showing pulmonary embolism (arrow).
case_images: CRICC2018-7986087.003.jpg
case_images: PMC5884296_01_CRICC2018-7986087.003.jpg
case_images: fig3
case_images: Repeat echocardiogram the next day showed improvement in RV size and function (Figure 2 and video 3).