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An 82-year-old man with a history of non-ischemic cardiomyopathy presented with shortness of breath. EKG showed right heart strain and blood gasses showed moderate desaturation. Pulmonary protocol CT showed a large saddle pulmonary embolus.
The patient was hemodynamically stable and did not require intubation. The patient was treated with anticoagulation. There was no evidence of lower extremity deep vein thrombosis on Doppler examination. The source of the embolus was presumed to be right atrial mural thrombus. No residual thrombus was seen in the atrium on CT.
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