Multimodal support for cardiorespiratory failure from paradoxical coronary and pulmonary embolism: A case report of mechanical support, revascularization, embolectomy, and shunt closure

Casey Carr, George Chrysant, Jordan Phillips, Robert S. Schoaps, Obaid Ashraf, Laura V. Swant, Joseph M. Brewer, Specialty Critical Care and Acute Circulatory Support Service, Nazih Zuhdi Transplant Institute, INTEGRIS Health Baptist Medical Center, Oklahoma City, INTEGRIS Cardiovascular Physicians, INTEGRIS Heart Hospital, INTEGRIS Health Baptist Medical Center, Oklahoma City, Health Quality Program, Queens University

Perfusion

Published online on May 06, 2026

Abstract

Perfusion, Volume 41, Issue 1_suppl, Page 185S-187S, May 2026.
Paradoxical coronary embolism (PCE) is an uncommon cause of acute myocardial infarction (AMI), typically occurring when venous thromboemboli cross a right-to-left shunt in the setting of elevated right-sided pressures. We report a case of mixed ...