Transoesophageal echocardiography during resuscitation successfully identified a massive intracardiac thrombus in a 40-year-old female, allowing for subsequent thrombolysis.
Case Report (n=1)
Transoesophageal echocardiography can be a valuable tool during ongoing resuscitation to identify reversible causes of cardiac arrest, such as massive intracardiac thrombus, and to monitor the effects of interventions like thrombolysis.
Acute pulmonary embolism is a frequent potentially reversible cause of sudden cardiac arrest. The early diagnosis is challenging but essential for further treatment. New therapeutic options in resuscitation, such as extracorporeal resuscitation, are leading to frequent transports of patients to emergency rooms with ongoing resuscitation. A transoesophageal echo performed during resuscitation can give hints for reversible causes for the cardiac arrest. We present a case of a 40-year-old female patient who was transferred to our department with ongoing resuscitation and received a transoesophageal echo immediately on arrival. The examination showed a massive intracardiac thrombus. The subsequent thrombolysis and following resuscitation were observed and documented via transoesophageal echo.
Poppe et al. (Mon,) conducted a case report in Sudden cardiac arrest with massive intracardiac thrombus (n=1). Transoesophageal echocardiography and thrombolysis was evaluated. Transoesophageal echocardiography during resuscitation successfully identified a massive intracardiac thrombus in a 40-year-old female, allowing for subsequent thrombolysis.