A Challenging Pulmonary Embolism: When Acute Meets Chronic Thrombus

Journal of the Society for Cardiovascular Angiography & Interventions 2026 Open access

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Authors: Jeffrey C.Y. Lee, Nickpreet Singh, Rahul Sakhuja, Rory A. Gallen, Maya Serhal, Robert M. Schainfeld, Kenneth Rosenfield
DOI: 10.1016/j.jscai.2026.104256
Cited by: 0
References: 1

Abstract

A 24-year-old man with refractory hypercoagulability (not otherwise specified) was admitted for repeated high-risk pulmonary embolism (PE). His first presentation years ago required veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support followed by pulmonary thromboendarterectomy (PTE). Recently, while on warfarin, he developed another large saddle PE with right ventricular (RV) thrombus. Treatment with heparin resulted in massive hemoptysis, and ultimately, he underwent a second PTE with RV thrombus removal.

Fields of Study & Subjects

Venous Thromboembolism Diagnosis and Management Pulmonary Hypertension Research and Treatments Cardiovascular and Diving-Related Complications

Publication details

Journal / source
Journal of the Society for Cardiovascular Angiography & Interventions
Volume
5
Issue
3
Pages
104256–104256
Publication date
24 February 2026
Language
EN