Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
After my last hospital visits I did a follow up with my pulmonologist and she ordered 2 tests. One was a leg ultrasound - making sure I don't have a DVT - and a bubble echo - looking for a shunt.
The echo for the DVT showed no DVT but did show a cyst with debris in it in the back of my right knee. We had the same test in January and it was normal. Probably 10 years ago about the time I developed arthritis I had bilateral knee x-rays and an MRI of one knee (right I think). Other than a baker's cyst it was normal. That is probably an incidental finding.
The bubble echo showed no shunt. A shunt is a "short circuit" between the arteries and the veins. It can be in the lungs or between the sides of the heart. This is done by injecting a shaken saline solution into the veins. Under normal circumstances the bubbles are filtered out in the lungs. There is trace grade tricuspid regurgitation. That means that blood is going backwards when the lower chamber empties. There was also mild pulmonary hypertension.
My thought is that the pulmonary hypertension may be causing the regurgitation.
Mike