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To our knowledge, the simultaneous presentation of an isolated septal MI and PE in a young patient has never been reported.Isolated septal MI should be considered in the presence of right bundle branch block (RBBB) at sub-occlusion of a large septal branch. The final diagnosis can optimally be confirmed by cardiac magnetic resonance (CMR).An increasing number of asymptomatic PE are being detected due to advances in computed tomography (CT) scanning. This is important because, if left untreated, incidental PE may be associated with higher recurrence rate and mortality.

Simultaneous Acute Pulmonary Embolism and Isolated Septal Myocardial Infarction in a Young Patient