E-ISSN 2149-2530
Case report
Repeated Thrombolytic Treatment for Recurrent Pulmonary Thromboembolism: A Report of 2 Cases and a Literature Review
1 Department of Chest Diseases, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey  
2 Clinic of Chest Diseases, Ankara Atatürk Training and Research Hospital, Ankara, Turkey  
Turk Thorac J ; 5: -
DOI: 10.5152/TurkThoracJ.2018.18020
Key Words: Recurrent pulmonary thromboembolism, repeated thrombolytic treatment, tissue plasminogen activator
Abstract

We present 2 cases of pulmonary thromboembolism (PTE). The first case, a 50-year-old man, was admitted to the emergency department because of sudden onset dyspnea and left side chest pain. He was diagnosed with intermediate-risk (submassive) PTE, and thrombolytic treatment was commenced. The patient fully recovered, but 5 days later, he was diagnosed with a new, high-risk PTE. The second patient, a 23-year-old woman, presented with syncope, dyspnea, and chest pain for 2 days. She was diagnosed with high-risk (massive) PTE. Thrombolytic treatment was commenced, and the patient fully recovered, too. But the later patient was also diagnosed with a new PTE 4 days later. We applied repeated thrombolytic treatment in the patients due to repeated PTE. The first patient fully recovered and was discharged from the hospital, but the second patient died because of gastrointestinal bleeding and renal insufficiency. A repeated thrombolytic treatment could be an alternative treatment for these patients, considering treatment’s risks.


Cite this article as
: Argüder E, Parlak E, Hezer H, et al. Repeated Thrombolytic Treatment for Recurrent Pulmonary Thromboembolism: A Report of 2 Cases and a Literature Review. Turk Thorac J 2018. DOI: 10.5152/TurkThoracJ.2018.18020

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