PE on Cath
  • Patient admitted for NSTEMI with mild troponin rise and nonspecific ECG changes. During morning of cath patient had a syncopal episode and required nasal prong oxygen. ECG showed sinus tachycardia. Chest X-ray was clear. Cath as follows:

RAO Cranial

LAO Cranial

RCA

  • Note displaced LAD on cranial views which prompted interventionalist to suspect RV overload. CTPA was arranged which diagnosed acute pulmonary embolism. Echo below shows dilated and dysfunctional right ventricle.

Parasternal Long Axis

Apical 4 Chamber

Case provided by Dr. Diamantouros

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