Breathlessness and new de-saturation in a patient with congenital heart disease: a time to thrombolyse or to seek specialist help?. (30th May 2012)

• Record Type: Journal Article
• Authors: Orchard, Elizabeth A; Picault, Nathalie; Tsang, Victor; Walker, Fiona
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-05-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.02.2012.5922
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A patient with known repaired complex congenital heart disease was referred as an emergency with increasing breathlessness on exertion. He was not short of breath at rest and had a saturation of 85% in air. A CT pulmonary angiography demonstrated decreased flow from his right ventricle to pulmonary artery, which was thought to be due to pulmonary embolism. We reviewed the CT with a knowledge and understanding of his anatomy and found that he had developed a false aneurysm of his right ventricular outflow tract, which required surgical treatment.