Рентгенология & Радиология, 2016, LV 187-192

Thrombus overriding defect of the atrial septum – CT findings

М. Еneva, М. Nedevska, V. Groudeva

Abstract.

Pulmonary thromboembolism is one of the most frequent cardio-vascular emergencies with a relatively high mortality rate in the absence of proper diagnosis and treatment. The presence or provoked manifestation of atrial septal defects can cause clinical complications and aggravate the prognosis in patients with pulmonary thromboembolism. It is important that the clinician is notified of the presence of this combined pathology, as it may require changes in treatment strategy. Atrial septal defects are most commonly diagnosed with echocardiography. However, it is possible that they remain unnoticed in emergency conditions, in high-risk patients and considering some limitations of this modality. We report two cases of pulmonary thromboembolism in combination with atrial septal defects, diagnosed with 320-row computed tomographic pulmonary angiography.

Key words: PULMONARY EMBOLISM. ATRIAL SEPTAL DEFECTS. PATENT FORAMEN OVALE. CT ANGIOGRAPHY