Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review

Authors

  • Dya Pratama Andryan Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Vienna Rossimarina Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Daniel Paringotan L. Tobing Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Taofan Taofan Division of Vascular Medicine, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Bambang Widyantoro Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Keywords:

Eisenmenger Syndrome, in situ pulmonary arterial thrombosis, venous thromboembolism, pulmonary

Abstract

The concept of venous thromboembolism (VTE) has recently been revisited because of evidence of a new spectrum of the disease called in situ pulmonary arterial thrombosis (ISPAT). We present the case of a 40-year-old female with shortness of breath, who was referred from a regional hospital because of a secundum atrial septal defect. Using echocardiography and computed tomography pulmonary angiogram, she was diagnosed with ISPAT. She received catheter-directed thrombolysis with good results. Knowing the difference in diagnostic clues between classical VTE and ISPAT is crucial, especially for managing the patient correctly.

Author Biographies

Dya Pratama Andryan, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Cardiology Resident, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia

Vienna Rossimarina, Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Division of Intensive and Acute Cardiovascular Care, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia

Daniel Paringotan L. Tobing, Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Division of Intensive and Acute Cardiovascular Care, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia

Taofan Taofan, Division of Vascular Medicine, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Division of Vascular Medicine, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia

Bambang Widyantoro, Division of Intensive and Acute Cardiovascular Care, Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

Division of Intensive and Acute Cardiovascular Care, Departement of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia

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Published

2025-04-15

How to Cite

Andryan, D. P., Rossimarina, V., Tobing, D. P. L., Taofan, T., & Widyantoro, B. (2025). Isolated Pulmonary Arterial Thrombosis in Patient with Eisenmenger Syndrome Treated with Catheter-directed Thrombolysis: A Case Report and Literature Review. Acta Medica Indonesiana, 57(1), 102. Retrieved from https://actamedindones.org/index.php/ijim/article/view/2766