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Chest, Vol 105, 1291-1292, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Life-threatening pulmonary embolism with right-sided heart thrombus. Rapid recovery with recombinant tissue plasminogen activator

C d'Ivernois, P Le Metayer, B Fischer, M Haissaguerre and JF Warin
Service de Cardiologie et Medicine Interne, Hopital Saint-Andre, Bordeaux, France.

We report the case of a woman treated with urokinase for acute pulmonary embolism with a right-sided heart thrombus. She developed life-threatening acute cor pulmonale which dramatically improved within 4 h with recombinant tissue plasminogen activator (rtPA). We emphasize the clinical interest of rtPA for the treatment of life-threatening pulmonary embolism.


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Copyright © 1994 by the American College of Chest Physicians.