Doble dosis de estreptocinasa en tromboembolismo pulmonar masivo con trombo flotante libre en la aurícula derecha

Double conventional doses of streptokinase in a massive pulmonary thromboembolism with a free-floating thrombus in the right atrium. We present a case of severe thromboembolism, with right ventricular dysfunction, high vasoactive drug requirements, sustained shock and a free-floating thrombus in right atrium. Hemodynamic and clinical picture as well as the echocardiographic image were solved after intravenous infusions of two complete doses of streptokinase, separated by an interval of 72 hours.