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Case Reports in Cardiology
Volume 2011, Article ID 201097, 3 pages
http://dx.doi.org/10.1155/2011/201097
Case Report

McConnell Sign in a Patient with Massive Acute Pulmonary Embolism

1Department of Internal Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA
2Pulmonary and Critical Care Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA
3Cardiology Division, Department of Medicine, The University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USA

Received 26 May 2011; Accepted 20 June 2011

Academic Editors: Marcio Barros and Kuan-Rau Chiou

Copyright © 2011 Qaiser Shafiq et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.