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McConnell’s Sign Is Not Always Pulmonary Embolism

Nikita Rafie, David A. Foley, Juan G. Ripoll, Michelle L. Booth-Kowalczyk, Arman Arghami, Alberto Pochettino, Héctor I. Michelena

2022JACC Case Reports10 citationsDOIOpen Access PDF

Abstract

McConnell’s sign is a well-established, specific echocardiographic sign for acute pulmonary embolism. Multiple theories have been proposed regarding the mechanism of McConnell’s sign in the context of acute pulmonary embolism. Here, we present 2 patient cases in which McConnell’s sign was seen with right ventricular ischemia without pulmonary embolism. (Level of Difficulty: Beginner.)

Topics & Concepts

Pulmonary embolismSign (mathematics)MedicineCardiologyInternal medicineRadiologyMathematicsMathematical analysisVenous Thromboembolism Diagnosis and ManagementAcute Ischemic Stroke ManagementCerebral Venous Sinus Thrombosis