**Core Concept**
Right ventricular infarcts occur due to occlusion of the right coronary artery, leading to ischemia and necrosis of the right ventricular myocardium. This results in impaired right ventricular function and potential cardiovascular collapse.

**Why the Correct Answer is Right**
Right ventricular infarcts are often associated with occlusion of the right coronary artery, which supplies blood to the right ventricle. This leads to a decrease in right ventricular function and increased pressure in the right atrium. The impaired right ventricular function can lead to a decrease in cardiac output, resulting in hypotension and shock. Additionally, right ventricular infarcts are often accompanied by pulmonary embolism due to the right-to-left shunt through the foramen ovale or patent foramen ovale.

**Why Each Wrong Option is Incorrect**
**Option A:** Right ventricular infarcts are often associated with occlusion of the right coronary artery, which is a true statement.
**Option B:** Right ventricular infarcts can lead to cardiovascular collapse, which is a true statement.
**Option C:** Right ventricular infarcts are often accompanied by pulmonary embolism, which is a true statement.
**Option D:** This option is not provided.

**Clinical Pearl / High-Yield Fact**
Right ventricular infarcts are often underdiagnosed due to the lack of specific ECG changes and the similarity in symptoms with left ventricular infarcts. A high index of suspicion and echocardiography are essential for diagnosing right ventricular infarcts.

**Correct Answer:** D.