Acute pulmonary embolism (PE), the most dan?gerous manifestation of venous thromboembo?lism, contributes highly to the global disease bur?den.1,2 The estimated early mortality risk in PE isused to guide decisions on diagnostic and ther?apeutic strategies.3 Pulmonary embolism can beclassified depending on clot size and location.Saddle embolism is a type of PE with a prevalenceof 2.6% to 5.4%.4 Importantly, saddle PE is nota synonym for massive PE, which is restricted topatients with hemodynamic compromise. How?ever, it is associated with higher in?hospital mor?tality and risk of delayed decompensation due toclot migration.
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