Massive Pulmonary Embolism with Cardiac Arrest During Routine Tibial Bypass Surgery

Abstract We report the case of a massive pulmonary embolism with intra-operative cardiac arrest in a 48-year-old male during routine surgical tibial bypass successfully managed by catheter-based interventions. Our experience supports the trending shift in pulmonary embolism therapy guidelines to include endovascular approaches and emphasizes the need for vascular surgeons to adapt their training protocols.