Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip
Overview
Authors
Affiliations
Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). In this article, we present a case of a patient with an acute DVT who was treated with a therapeutic heparin drip, then developed syncope while in the hospital and found to have massive bilateral PEs. This case aims to arouse the medical staff's awareness of the VTE diagnosis even if the patient is fully anticoagulated. We review the indications for DVT hospitalization, heparin infusion monitoring, risk factors for developing PE from DVT, mechanisms of developing PE from DVT while on therapeutic anticoagulation, and signs and treatment of massive PE.
Persistent Risk of Pulmonary Embolism in Acute Pancreatitis Despite Prophylactic Anticoagulation.
Alomar T, Somaratna A, Boddupalli D Cureus. 2024; 16(11):e74249.
PMID: 39717286 PMC: 11663624. DOI: 10.7759/cureus.74249.