Interventional/Structural Cardiology Fellow Thomas Jefferson University Hospital Marlton, New Jersey, United States
Background: 45-year-old gentleman with known ischemic cardiomyopathy. He presented with cardiac arrest and inferior STEMI. Underwent PCI to RCA. Hospital course was complicated by obstructive shock due to saddle pulmonary embolism, which was diagnosed using multimodality imaging. He was supported with VA ECMO, pressors, and mechanical ventilation.
Methods: Concise review of an interesting cardiogenic/obstructive shock case. Ideally this would be presented as a poster, but it could also be presented as a powerpoint.
Outcome: He had prolonged hospitalization, but his right heart function recovered, VA-ECMO was decannulated and he was ultimately discharged to rehab.
Conclusion: Inferior ST elevation myocardial infarction and saddle pulmonary embolism is a rare and deadly combination. If not recognized and managed promptly and effectively, it can have catastrophic consequences.
