Ostra zatorowość płucna pośredniego ryzyka z ruchomą skrzepliną w prawym sercu, przebiegająca z zespołem uogólnionej reakcji zapalnej, zespołem niewydolności wielonarządowej, rozsianym krzepnięciem wewnątrznaczyniowym i ostrym niedokrwieniem kończyny

Abstract

A case of a 64 year-old woman admitted to ICCU because of severe dyspnoea and oedema of left lower limb is presented. We diagnosed coincidence of acute pulmonary embolism with right-sided free-floating heart thrombi, systemic inflammatory reaction syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation and acute ischaemia of the right lower limb. Due to atypical clinical presentation therapeutic strategies were discussed with ZATPOL registry coordinator. The patient was treated pharmacologically, underwent cardiosurgical evacuation of right-sided intracardiac thrombus and lower limb amputation. At follow up visit 6 months after discharge from hospital she was in good general condition with no complaints. Kardiol Pol 2010; 68, 10: 1140-114