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A patient in his 30s with a history of intravenous drug use and traumatic aortic injury requiring endovascular stenting 10 years prior presents with 1 week of chest pain, dyspnoea on exertion and chills. His vitals were heart rate (HR) 108 bpm, blood pressure (BP) 136/87, temperature (T) 36.4°C, respiratory rate (RR) 27, saturating 97% on 3 L nasal cannula. There was a loud S2 on cardiac auscultation, but the rest of his physical exam was unremarkable. Electrocardiogram (EKG) showed sinus tachycardia with T wave inversions in V2–V4. Chest X-ray demonstrated normal cardiac silhouette and was unremarkable for pulmonary pathology. CT pulmonary angiography showed a linear saddle embolus extending across the branch point of the right and left main pulmonary arteries (PAs) …
Contributors AOG is the first author of this submitted manuscript and KRB is the second author.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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