McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

Qaiser Shafiq; Ragheb Assaly; Yousuf Kanjwal

doi:10.1155/2011/201097

Case Reports in Cardiology (Jan 2011)

McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

Qaiser Shafiq,
Ragheb Assaly,
Yousuf Kanjwal

Affiliations

Qaiser Shafiq: Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA
Ragheb Assaly: Pulmonary and Critical Care Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA
Yousuf Kanjwal: Cardiology Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA

DOI: https://doi.org/10.1155/2011/201097
Journal volume & issue: Vol. 2011

Abstract

Read online

A 48-year-old female was admitted after experiencing a brief syncopal episode. Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident. Since the accident, her mobility has been limited. CT angiogram of the chest revealed massive bilateral pulmonary emboli. A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction. Considering potential of hemodynamic instability, the patient received fibrinolytic therapy with Alteplase. A subsequent 2D echocardiogram showed complete resolution of McConnell sign and right ventricle dysfunction.

Published in Case Reports in Cardiology

ISSN: 2090-6404 (Print); 2090-6412 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://onlinelibrary.wiley.com/journal/4208

About the journal