Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review

The concept of venous thromboembolism (VTE) has recently been revisited because of evidence of a new spectrum of the disease called in situ pulmonary arterial thrombosis (ISPAT). We present the case of a 40-year-old female with shortness of breath, who was referred from a regional hospital because o...

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Main Authors: Dya Pratama Andryan, Vienna Rossimarina, Daniel Paringotan L. Tobing, Taofan Taofan, Bambang Widyantoro
Format: Article
Language:English
Published: Interna Publishing 2025-04-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:http://www.actamedindones.org/index.php/ijim/article/view/2766
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author Dya Pratama Andryan
Vienna Rossimarina
Daniel Paringotan L. Tobing
Taofan Taofan
Bambang Widyantoro
author_facet Dya Pratama Andryan
Vienna Rossimarina
Daniel Paringotan L. Tobing
Taofan Taofan
Bambang Widyantoro
author_sort Dya Pratama Andryan
collection DOAJ
description The concept of venous thromboembolism (VTE) has recently been revisited because of evidence of a new spectrum of the disease called in situ pulmonary arterial thrombosis (ISPAT). We present the case of a 40-year-old female with shortness of breath, who was referred from a regional hospital because of a secundum atrial septal defect. Using echocardiography and computed tomography pulmonary angiogram, she was diagnosed with ISPAT. She received catheter-directed thrombolysis with good results. Knowing the difference in diagnostic clues between classical VTE and ISPAT is crucial, especially for managing the patient correctly.
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institution Kabale University
issn 0125-9326
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publishDate 2025-04-01
publisher Interna Publishing
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series Acta Medica Indonesiana
spelling doaj-art-a744fcefb269420194fa8f836f8e04582025-08-20T03:50:00ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322025-04-01571Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature ReviewDya Pratama Andryan0Vienna Rossimarina1Daniel Paringotan L. Tobing2Taofan Taofan3Bambang Widyantoro4Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Vascular Medicine, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaThe concept of venous thromboembolism (VTE) has recently been revisited because of evidence of a new spectrum of the disease called in situ pulmonary arterial thrombosis (ISPAT). We present the case of a 40-year-old female with shortness of breath, who was referred from a regional hospital because of a secundum atrial septal defect. Using echocardiography and computed tomography pulmonary angiogram, she was diagnosed with ISPAT. She received catheter-directed thrombolysis with good results. Knowing the difference in diagnostic clues between classical VTE and ISPAT is crucial, especially for managing the patient correctly.http://www.actamedindones.org/index.php/ijim/article/view/2766Eisenmenger Syndromein situ pulmonary arterial thrombosisvenous thromboembolismpulmonary
spellingShingle Dya Pratama Andryan
Vienna Rossimarina
Daniel Paringotan L. Tobing
Taofan Taofan
Bambang Widyantoro
Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
Acta Medica Indonesiana
Eisenmenger Syndrome
in situ pulmonary arterial thrombosis
venous thromboembolism
pulmonary
title Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
title_full Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
title_fullStr Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
title_full_unstemmed Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
title_short Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review
title_sort isolated pulmonary arterial thrombosis in patient with eisenmenger syndrome treated with catheter directed thrombolysis a case report and literature review
topic Eisenmenger Syndrome
in situ pulmonary arterial thrombosis
venous thromboembolism
pulmonary
url http://www.actamedindones.org/index.php/ijim/article/view/2766
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