MOHANDAS M. SHENOY, M.D.; SANDOR A. FRIEDMAN, M.D.; SANTI DHAR, M.D.; PETER BERMAN, M.D.
Streptokinase has been used successfully for several thromboembolic disorders. In the case reported here, intravenous infusion of streptokinase eliminated right-to-left intracardiac shunting in a patient with acute pulmonary embolism. This treatment simultaneously lysed a left ventricular thrombus. The shunting site and thrombolysis were shown echocardiographically.
A 94-year-old man was hospitalized with acute dyspnea and left arm paralysis. His history included a myocardial infarction but no neurologic disease. Physical findings included a temperature of 36.8 °C; pulse, 75 beats/min; blood pressure, 90/50 mm Hg; central cyanosis, tachypnea, and jugular venous distension. Heart sounds were normal and lungs were clear. His left
SHENOY MM, FRIEDMAN SA, DHAR S, BERMAN P. Streptokinase Lysis of Intraventricular Thrombus and Pulmonary Emboli with Resolution of Acquired Intracardiac Shunt. Ann Intern Med. 1985;103:65–66. doi: 10.7326/0003-4819-103-1-65
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Published: Ann Intern Med. 1985;103(1):65-66.
Emergency Medicine, Pulmonary Embolism, Pulmonary/Critical Care, Venous Thromboembolism.
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