22 February 2026
: Case report 
Pulmonary Embolism and Right Heart Failure Associated With Lipomatous Atrial Septal Hypertrophy: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Clinical situation which can not be reproduced for ethical reasons
Prutha Pathak AEF 1, Siddharth Patel
ABC 2*, Amogh Reddy EF 3, Jason Mathew CE 3, Ashish Basu CF 4, Mrudula Thiriveedi EF 2, Sujatha Baddam DF 5
DOI: 10.12659/AJCR.949860
Am J Case Rep 2026; 27:e949860
Table 1 Laboratory values on admission*.
| Laboratory parameter | Patient value | Reference range |
|---|---|---|
| White blood cell count | 11.66 | 4.8–11.8×10 cells/μL |
| Red blood cell count | 4.73 | 4.2–5.4×10 cells/μL |
| Hemoglobin | 13.9 | 12.0–16.0 g/dL |
| Hematocrit | 42.6 | 37–47% |
| Mean corpuscular volume | 90.1 | 81–99 fL |
| Mean corpuscular hemoglobin | 29.4 | 27–31 pg |
| Mean corpuscular hemoglobin concentration | 33–37 g/dL | |
| Red cell distribution width | 11.5–14.5% | |
| Platelet count | 297 | 130–400×10 cells/μL |
| Prothrombin time | 12.8 | 11.0–16.0 s |
| International normalized ratio | 0.96 | 0.9–1.2 |
| Partial thromboplastin time | 26.5 | 22.3–41.8 s |
| D-dimer, quantitative | 0–0.5 μg/mL | |
| Sodium | 141 | 136–145 mmol/L |
| Potassium | 4.6 | 3.5–5.1 mmol/L |
| Chloride | 102 | 95–107 mmol/L |
| Carbon dioxide | 20 | 25–35 mmol/L |
| Anion gap | 19 | 10–16 |
| Blood urea nitrogen | 18 | 8–22 mg/dL |
| Creatinine | 0.9 | 0.5–0.9 mg/dL |
| Glucose | 70–104 mg/dL | |
| Calcium | 9.4 | 8.6–10.2 mg/dL |
| Troponin T | <0.010 | 0–0.09 ng/mL |
| Pro–B-type natriuretic peptide | 198 | 5–450 pg/mL |
| Total protein | 6.3–8.3 g/dL | |
| Albumin | 4.1 | 3.5–5.0 g/dL |
| * Bold font indicates values outside the reference range. | ||