Key result
A healthy 28-year-old male with no known risk factors successfully underwent a pulmonary thrombectomy for a massive life-threatening saddle pulmonary embolism.
Case Report (n=1)
No
This case highlights the rare occurrence of a massive saddle pulmonary embolism in a young, healthy patient without traditional risk factors, emphasizing the need for clinical vigilance and prompt catheter-directed thrombectomy.
Answers are grounded in this paper and cite their sources.
May prompt vigilance for massive PE in young adults without risks; single case leaves broader applicability open.
When Virchow's triad is disrupted, a deep vein thrombosis (DVT) can often occur and progress into a pulmonary embolism, and in rare cases, a saddle pulmonary embolism. This 28-year-old male patient showed up at the emergency department (ED) with shortness of breath, chest palpitations, and right calf pain. Additional imaging showed a massive saddle pulmonary embolism, and he was taken to immediate right femoral catheterization for thrombectomy. Though this patient presents with no known risk factors in his history or workup, he stretches the predefined boundaries with his cavalier presentation.
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Patel et al. (2023) conducted a case report in Saddle Pulmonary Embolism (n=1). Pulmonary thrombectomy was evaluated. A healthy 28-year-old male with no known risk factors successfully underwent a pulmonary thrombectomy for a massive life-threatening saddle pulmonary embolism.
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