An otherwise healthy 68 year-old man experienced three episodes of life-threatening pulmonary embolism (PE) over a short period. The last episode had lethal outcome. After the first episode the patient was resuscitated and received embolectomy and after the second he received thrombolytic treatment. The last episode was not recognised until the autopsy. The second and the third episode occurred during anticoagulant therapy. Even in non-malignant patients recurrent PE may occur during anticoagulant therapy and implementing a prophylactic permanent filter in vena cava inferior in these patients in case of recurrent major PE could be considered.
Ugeskrift for Laeger, 2012, Vol 174, Issue 16, p. 1098-9