<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>BACKGROUND</h3>
<p>The following case presentation highlights the diagnostic and therapeutic approach to a patient with a rare disease.</p>
</sec>
<sec><h3>CASE PRESENTATION</h3>
<p>A 47-year-old man was hospitalized with chest pain, shortness of breath, and fatigue. Initial blood test analysis revealed elevated CRP, leukocytosis, and elevated cTn-I. Due to suspected myocarditis, cardiac magnetic resonance (CMR) imaging was performed. CMR ruled out myocarditis. In addition, there were no signs of edema or late gadolinium enhancement (LGE). However, there was evidence of enlarged right ventricular heart chambers. Cine short-axis images and LGE sequences revealed masses in the pulmonary artery, highly suspicious of thrombi. D-dimer was analyzed, showing very high values, and additionally, CTPA confirmed the diagnosis of pulmonary embolism (PE). Venous Doppler ultrasonography demonstrated DVT in the right popliteal vein. Anticoagulation with LMWH was initiated, after which a drug from the NOAC class - Rivaroxaban was given according to a PE protocol. The patient was discharged from the hospital in a hemodynamically stable condition with a recommendation to adhere to the therapy and conduct control after 1 and 3 months of hospitalization.</p>
</sec>
<sec><h3>CONCLUSION</h3>
<p>Thanks to multimodality imaging, we find it easier to get the specific cause of the problem, by establishing it or by ruling it out. However, the most important thing is to have a high clinical suspicion and common sense for faster diagnosis, treatment, and early recovery of the patient.</p>
</sec>
</abstract>

BACKGROUND
The following case presentation highlights the diagnostic and therapeutic approach to a patient with a rare disease.

CASE PRESENTATION
A 47-year-old man was hospitalized with chest pain, shortness of breath, and fatigue. Initial blood test analysis revealed elevated CRP, leukocytosis, and elevated cTn-I. Due to suspected myocarditis, cardiac magnetic resonance (CMR) imaging was performed. CMR ruled out myocarditis. In addition, there were no signs of edema or late gadolinium enhancement (LGE). However, there was evidence of enlarged right ventricular heart chambers. Cine short-axis images and LGE sequences revealed masses in the pulmonary artery, highly suspicious of thrombi. D-dimer was analyzed, showing very high values, and additionally, CTPA confirmed the diagnosis of pulmonary embolism (PE). Venous Doppler ultrasonography demonstrated DVT in the right popliteal vein. Anticoagulation with LMWH was initiated, after which a drug from the NOAC class - Rivaroxaban was given according to a PE protocol. The patient was discharged from the hospital in a hemodynamically stable condition with a recommendation to adhere to the therapy and conduct control after 1 and 3 months of hospitalization.

CONCLUSION
Thanks to multimodality imaging, we find it easier to get the specific cause of the problem, by establishing it or by ruling it out. However, the most important thing is to have a high clinical suspicion and common sense for faster diagnosis, treatment, and early recovery of the patient.

Pulmonary Thromboembolism in a Patient Suspected for Myocarditis - Case Report

South East European Journal of Cardiology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Pulmonary Thromboembolism in a Patient Suspected for Myocarditis - Case Report"}

BACKGROUND
The following case presentation highlights the diagnostic and therapeutic approach to a patient with a rare disease.

CASE PRESENTATION
A...

Pulmonary Thromboembolism in a Patient Suspected for Myocarditis - Case Report

Online veröffentlicht: 25. Dez. 2023

Seitenbereich: 29 - 31

Eingereicht: 01. Mai 2023

Akzeptiert: 10. Juni 2023

DOI: https://doi.org/10.3889/seejca.2023.6046

Schlüsselwörter
Pulmonary thromboembolism, Myocarditis, Case report

© 2023 Aleksandar Milosavljevikj et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Pulmonary Thromboembolism in a Patient Suspected for Myocarditis - Case Report

Online veröffentlicht: 25. Dez. 2023

Seitenbereich: 29 - 31

Eingereicht: 01. Mai 2023

Akzeptiert: 10. Juni 2023

DOI: https://doi.org/10.3889/seejca.2023.6046

SchlüsselwörterPulmonary thromboembolism, Myocarditis, Case report

© 2023 Aleksandar Milosavljevikj et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Schlüsselwörter
Pulmonary thromboembolism, Myocarditis, Case report