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The case of repeated syncopes in recurrent pulmonary embolism

Vatutin N. T.1, Taradin G. G.1, Kostogryz V. B.2, Orlov A. G.2, Kanisheva I. V.1, Sosedenko E. A.3
1 – M. Gorky Donetsk National Medical University of the Ukraine Ministry of Health Care, Prospekt Iljicha 16, Donetsk 83003, Ukraine
2 – V. K. Gusak Institute of Urgent and Reconstructive Surgery of the Ukrainian National
Academy of Medical Sciences, Leninskij Prospekt 47, Donetsk 83045, Ukraine
3 – Municipal Clinical Hospital #23, Donetsk, Ukraine 83008

Keywords: pulmonary embolism, thromboembolism of pulmonary artery, venous thromboembolism, diagnostics, syncope, clinical manifestations

DOI: 10.18087/cardio.2398

The article provides a case report of recurrent syncopal episodes in a 57-year old male patient. During a three-month period of recurrent syncope, the patient was managed by the family doctor and at pulmonology and cardiology departments for different diagnoses. Due to an uncertainty in diagnosis, the patient was moved to a hospital where he underwent echocardiographic examination and duplex scanning of right leg veins, which detected a 49.3 mm right leg venous thrombus with a free-floating head in the right common femoral vein. Retrospectively, recurrent pulmonary artery thromboembolism was diagnosed. Thrombectomy and ligation of the right superficial artery were performed; an approximately 17 cm long thrombus was removed; the anticoagulant treatment was administered with a beneficial effect.
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Vatutin N. T., Taradin G. G., Kostogryz V. B., Orlov A. G., Kanisheva I. V., Sosedenko E. A. The case of repeated syncopes in recurrent pulmonary embolism. Kardiologiia. 2017;57(S3):76–80

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