Thrombolysis of incidental pulmonary embolism in a stroke patient

TL;DR

An 88-year-old man with a stroke and an incidental blood clot in the lung improved after receiving clot-busting treatment.

Contribution

Demonstrates successful thrombolytic therapy for both stroke and incidental pulmonary embolism in an elderly patient.

Findings

Thrombolytic therapy resolved both stroke and incidental PE in an 88-year-old patient.

The patient had favorable outcomes following treatment for both conditions.

This case highlights the potential benefits of thrombolysis in overlapping stroke and PE scenarios.

Abstract

Both acute ischemic stroke (AIS) and pulmonary embolism (PE) are major causes of morbidity and mortality, with overlapping risk factors. Incidental or silent PE therefore may be discovered during an AIS work-up. Thrombolytic therapy is considered first-line therapy for eligible patients with AIS. We present the case of an 88-year-old man with an AIS, who was incidentally found to have a PE, and then received thrombolytic therapy leading to favorable outcomes in both conditions.

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