# Multi-organ Thromboembolic Crisis: A Case Report of Concomitant Stroke, Myocardial Infarction, and Pulmonary Embolism

## TL;DR

This case report describes an elderly patient with cancer who experienced simultaneous blood clots in the brain, heart, and lungs, leading to a new term for this condition.

## Contribution

The paper introduces the term 'multi-organ thromboembolic crisis' to describe simultaneous thromboembolic events in multiple organs.

## Key findings

- An 86-year-old female presented with acute ischemic stroke, STEMI, and bilateral pulmonary embolism.
- The authors propose a new term to improve communication and management of multi-organ thromboembolic events.

## Abstract

Management of acute coronary syndrome (ACS), cerebrovascular accident (CVA), and pulmonary embolism (PE) necessitates prompt intervention, as delayed treatment may lead to severe consequences. Each of these conditions presents significant challenges and carries a high risk of morbidity and mortality. We present the case of an 86-year-old female with a history of stage 4 urothelial carcinoma metastasized to the lungs, who presented to the emergency department (ED) with acute ischemic stroke (AIS), ST-segment elevation myocardial infarction (STEMI), and bilateral PE. We propose the term “multi-organ thromboembolic crisis” (MOTEC) to streamline the communication and management approach for patients experiencing critical thromboembolic events affecting multiple organ systems.