A 16-year-old boy presents with a massive acute pulmonary embolism requiring emergent surgical embolectomy and extracorporeal membrane oxygenation for right ventricular failure. Subsequently he was diagnosed with catastrophic antiphospholipid syndrome requiring immunosuppression, and then pneumatoceles causing tension pneumothoraxes. The rarity of presentation in a child required collaboration across pediatric and adult disciplines.

JACC Case Reports Interim Editors-in-Chief 

Gilbert H. L. Tang, MD, MSc, MBA

CME Editor 

Kenneth A. Ellenbogen, MD

Author

Megan Pelter, MD

 Important Dates

Date of Release: February 5, 2025 

Term of Approval/Date of CME/MOC Expiration: February 4, 2026