Introduction
Pulmonary embolism (PE) is a medical condition usually managed with
anticoagulation or thrombolysis, however in certain cases surgical
management can be considered as the best therapeutic
intervention1. Floating aortic thrombus can lead to
catastrophic systemic embolism and operative management prevents this
complication2,3. Several reports of successful
systemic anticoagulation alone have been reported. Concomitant
presentation of both conditions poses extra challenge to clinical
decision making to ensure the best possible outcome.