A 61-year-old woman was transferred from an outside hospital for evaluation and management of acute hemoptysis with radiologic evidence of a right middle lobe mass. Airway evaluation revealed a right middle lobe endobronchial mass with active bleeding in addition to old blood clots. APC was employed at a flow of 1.5 L/min and power of 40 W in the right middle lobe to ablate the tumor, and the bleeding was controlled. Shortly after, acute T-wave inversions developed on telemetry, followed by bradycardia, hypotension, and loss of peripheral pulses. CPR was initiated per ACLS protocol. Within a few minutes, the patient was hemodynamically stable with recovery of peripheral pulses. ECG revealed changes consistent with acute inferior wall myocardial infarction. An emergent TEE was performed, which revealed gas bubbles in the LV without any evidence of intracardiac septal defects. A bubble study was not performed. She was transferred to the cardiac catheterization laboratory and underwent angiography. Results were unremarkable, with normal coronary arteries, normal LV ejection fraction, and no evidence of intracardiac shunts. The patient recovered in the ICU in 1 day, was transferred to the floor, and was discharged 3 days later. She subsequently underwent right middle lobectomy for a localized, atypical carcinoid tumor and remains asymptomatic at this time.