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Am I having mini pulmonary embolism?

This question was asked in Rochester, Michigan and has 2 answer(s) as of 04/29/2013.
I was treated for a DVT about 1 1/2 years ago and was diagnosed with May-Thurner Syndrome. I was hospitalized, treated with thrombolytics and a stent was placed. I was on Coumadin for one year and just recently completed the planned course. My question is concerning chest pain. I have had a history of chest pain, mostly at night, which is sharp in nature and sometimes even have numbness of my arm after. I am wondering if I am having mini pulmonary embolism. Is that possible?

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Doctors Answers (2)

Your history is very interesting. It is unlikely that you're having small pulmonary emboli as most pulmonary emboli are asymptomatic. Small pulmonary emboli are unlikely to cause any symptoms. Larger emboli could cause chest pain but would not likely cause numbness. In addition, if there is no clot inside the stented vein then it is unlikely that clots would be traveling. The best thing to do is to get an ultrasound to make sure that the vein that was treated with a stent is still open and that there is no residual blood clot present.

Possible, but unlikely. I would recommend a VQ scan to rule out recurrent PE.

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