Syncopal Status Revealing a Massive Intracardiac Thrombi Complicated by Pulmonary Embolism
Published: 2022-06-22
Page: 220-226
Issue: 2022 - Volume 5 [Issue 1]
M. Njie
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
B. E. Ovaga *
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
S. I. Harouna
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
H. Hatim
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
M. Haboub
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
A. Salim
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
Med G. Benouna
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
A. Drighil
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
L. Azzouzi
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
R. Habbal
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Pulmonary embolism (PE) is a common condition characterized by clinical polymophism making its diagnosis difficult. Syncope as an initial symptom of pulmonary embolism has proven to be a difficult clinical correlation to establish, although described in the literature. It is more common in men than in women owing to its relationship with smoking and comorbid diseases. For patients younger than 55 years of age, the incidence rate of PE is higher in women owing to the use of oral contraceptives and pregnancy. Transthoracic echocardiography (TEE) is a vital examination diagnosis and stratification PE whereas Thoracic Angio computed tomography scan confirms PE diagnosis. We report a rare case of pulmonary embolism with a massive free-floating intracardiac thrombus that was revealed by recurrent episodes of syncope in a middle age patient followed-up for stable controlled type 2 diabetes mellitus under diet only without other known risk factor for thromboembolic disease.
Keywords: Pulmonary embolism, PE diagnosis computed tomography, echocardiography, deep vein thrombosis