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Fatal Pulmonary Artery Embolism in a Sickle Cell Patient: Case Report and Literature Review
Authors:Lakkireddy  Dhanunjaya R.  Patel  Robert  Basarakodu  Krishnamohan  Vacek  James
Affiliation:(1) Department of Cardiology, Creighton University School of Medicine, Omaha, NE 68131, USA;(2) Department of Internal Medicine, UMKC School of Medicine, Kansas City, MO 64131, USA;(3) Department of Internal Medicine, Sinai Grace Hospital, Wayne State University, Detroit, MI 48201, USA;(4) Department of Cardiovascular Sciences, KU Medical Center, University of Kansas, Kansas City, KS 66160, USA
Abstract:This article reports a rare case of fatal saddle embolism to the pulmonary artery presenting as an Acute Chest Syndrome (ACS) in a Sickle Cell patient. We present a review of the etiology, pathophysiology, clinical manifestation and management of ACS. Clinicians should be aware of the fact that a sickle cell crisis admission may represent a life-threatening process. Such awareness will help physicians to act promptly and execute proper therapeutic interventions. It is important for clinicians to be expectant of impending clinical deterioration and likewise be aware that ACS can develop in patients hospitalized for other medical or surgical conditions.
Keywords:acute chest syndrome  fat emboli  pulmonary embolism  sickle cell disease
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