A patient developed breathlessness and chest pain, on second postoperative day after a total hip replacement. Echo-cardiography showed right ventricular dilatation and tricuspid regurgitation.What is the most likely diagnosis -
Onset of chest pain and breathlessness, together with echocardiographic evidence of right ventricular dilatation and tricuspid regurgitation after a high risk procedure (for thromboembolism) like total hip replacement suggests a diagnosis of pulmonary embolism.
Acute MI
Pulmonary embolism
Hypotensive shock
Cardiac tamponate