Breathlessness and new de-saturation in a patient with congenital heart disease: a time to thrombolyse or to seek specialist help?

Abstract

A patient with known repaired complex congenital heart disease was referred as an emergency with increasing breathlessness on exertion. He was not short of breath at rest and had a saturation of 85% in air. A CT pulmonary angiography demonstrated decreased flow from his right ventricle to pulmonary artery, which was thought to be due to pulmonary embolism… (More)
DOI: 10.1136/bcr.02.2012.5922

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