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Chest, Vol 100, 1210-1214, Copyright © 1991 by American College of Chest Physicians
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JJ Hunter, KR Johnson, TG Karagianes and HC Dittrich
Department of Medicine, University of California, San Diego Medical Center 92103.
Pulmonary embolus-in-transit represents an important cause of morbidity and mortality in the critically ill patient. Unexplained shock and acute pulmonary hypertension were evaluated with echocardiography. Standard transthoracic echocardiography failed to identify a large embolism-in-transit that was easily visualized by transesophageal imaging. A review of the literature involving emboli-in-transit suggests that early intervention in these patients may be beneficial.
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