Man 45 year with sudden and transitory dyspnea and hypotension

Male, 45-year-old patient, admitted yesterday due to symptoms of dyspnea of sudden onset not related to effort. He does not mention precordial pain. He presented four weeks ago, an ankle fracture, related to a motorbike accident, with no chest trauma.
At admittance he was tachypneic with BP 80/50. Physical examination, including cardiac auscultation, was normal except for the verification of longilinear frame and mild pectus excavatum.

Presentación del caso