• A 74 year old male presented with bilateral submassive pulmonary emboli with moderately severe pulmonary hypertension with right ventricular systolic pressure (RVSP) 63 mm Hg. • Echocardiographic pulmonary-to-left atrial ratio (ePLAR) markedly elevated at 0.78 m/s (normal range for age 0.30 ± 0.09 m/s) suggesting significantly elevated transpulmonary gradient. • Thrombolysis almost fully resolved symptomatic embolic burden and normalized right ventricular function. RVSP 37 mm Hg, ePLAR 0.32 m/s. • One month after lysis, RVSP 26 mm Hg, ePLAR 0.22 m/s, now within the normal range for age.
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| http://dx.doi.org/10.1016/j.case.2017.03.002 | DOI Listing |
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