McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

الملخص EN

A 48-year-old female was admitted after experiencing a brief syncopal episode.

Three weeks ago the patient sustained a right arm humerus bone fracture in a motor vehicle accident.

Since the accident, her mobility has been limited.

CT angiogram of the chest revealed massive bilateral pulmonary emboli.

A 2D echocardiogram was performed, which demonstrated McConnell sign and severe right ventricle dysfunction.

Considering potential of hemodynamic instability, the patient received fibrinolytic therapy with Alteplase.

A subsequent 2D echocardiogram showed complete resolution of McConnell sign and right ventricle dysfunction.