The devastating impact of combined myocardial infarction and pulmonary embolism following hip surgery

Hamza Najout 1, *, Ouahb Azriouil 2, Mehdi Baya 3 and Ilyass Masad 4

1 Department of Anesthesia IUC, Mohammed V Military Teaching Hospital, Mohammed V University- Rabat, Morocco.
2 Department of Orthopaedics and Traumatology, Avicenne Military Hospital, Cadi Ayyad University-Marrakech, Morocco.
3 Department of cardiology, Moulay Ismail Military Hospital, Meknes, Morocco.
4 Department of Anesthesia IUC, Hassan II Military Hospital, Laayoune, Morocco.
 
Case Study
Publication history: 
Received on 29 September 2024; revised on 04 Octobre 2024; accepted on 06 December 2024
 
Abstract: 
This case report presents a complex clinical scenario involving the simultaneous occurrence of acute myocardial infarction (AMI) and pulmonary embolism (PE). A 58-year-old male with underlying cardiovascular risk factors and past history of hip surgery in the last 25 days presented with acute respiratory distress, chest pain, and lower extremity edema. Diagnostic workup confirmed the presence of both AMI and PE, leading to a rapid deterioration in the patient's condition. Despite aggressive medical management, including antithrombotic therapy, vasopressor support, and advanced cardiac life support, the patient ultimately succumbed to the severity of the illness. This case highlights the challenges associated with managing patients with this dual diagnosis and emphasizes the importance of early recognition, prompt diagnosis, and aggressive treatment. Future research is needed to identify novel biomarkers and therapeutic strategies to improve patient outcomes.
 
Keywords: 
Myocardial infarction; Pulmonary embolism; Acute coronary syndrome; Cardiovascular disease; Acute respiratory distress syndrome; Cardiogenic shock; Ventricular arrhythmia
 
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