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Journal of Case Reports
Unprovoked Saddle Pulmonary Embolism in a Patient with Shy-Drager syndrome: Are They Related?
Shahzaib Nabi1, Pushpinderdeep Kahlon1, Tarun Jain1, Sagger Mawri1, Adeel Arshad2, Philip Kuriakose3
Department of Internal Medicine1 and Hematology-Oncology3, Henry Ford Health System, Detroit, MI 48202; 2Department of Internal Medicine, Hamad Medical Corporation, Weill Cornell University, Doha, Qatar.
Corresponding Author:
Dr. Shahzaib Nabi
Email: snabi1@hfhs.org
Received: 13-MAR-2015 Accepted: 17-APR-2015 Published Online: 20-APR-2015
DOI: http://dx.doi.org/10.17659/01.2015.0042
There have been previous studies that suggested that patients with Parkinson’s disease are at an increased risk of thrombosis, but could Shy-Drager syndrome, which entails Parkinsonian features, be a risk factor for thrombosis also? Our patient is a 54-year-old male with Shy-Drager syndrome who presented to the emergency department with acute onset of pleuritic chest pain and shortness of breath. Initial work-up showed normal electrocardiogram, negative troponins, normal complete blood count, and normal chemistry panel, but an elevated D-dimer. Computed tomography of the chest with intravenous contrast was performed which revealed a large saddle pulmonary embolus extending into the right and left pulmonary arteries. Interestingly, the patient remained hemodynamically stable throughout his stay in the hospital.
Keywords : Shy-Drager Syndrome, Parkinson Disease, Thrombosis, Embolism, Dyspnea, Chest Pain.
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