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Concomitant acute myocardial infarction and acute pulmonary embolism caused by paradoxical embolism: a case report.
- Source :
-
BMC cardiovascular disorders [BMC Cardiovasc Disord] 2021 Jun 24; Vol. 21 (1), pp. 313. Date of Electronic Publication: 2021 Jun 24. - Publication Year :
- 2021
-
Abstract
- Background: Due to its low incidence and diverse manifestations, paradoxical embolism (PDE) is still under-reported and is not routinely considered in differential diagnoses. Concomitant acute myocardial infarction (AMI) and acute pulmonary embolism (PE) caused by PDE has rarely been reported.<br />Case Presentation: A 45-year-old woman presented with acute chest pain and difficulty with breathing. Multiple imaging modules including ECG, echocardiography, emergency cardioangiogram (CAG), and CT angiography of the pulmonary arteries showed acute occlusion of the posterolateral artery and acute PE. After coronary aspiration, no residual stenosis was observed. One month later, a bubble study showed inter-atrial communication via a patent foramen ovale (PFO). The AMI in this patient was finally attributed to PDE via the PFO. PFO closure was performed, and long-term anticoagulation was prescribed to prevent recurrent thromboembolic events.<br />Conclusions: PDE via PFO is a rare etiology of AMI, especially in patients with concomitant AMI and PE. Clinicians should be vigilant of this possibility and close the inter-atrial channel for secondary prevention.
- Subjects :
- Anticoagulants therapeutic use
Embolism, Paradoxical diagnostic imaging
Embolism, Paradoxical prevention & control
Female
Foramen Ovale, Patent diagnostic imaging
Foramen Ovale, Patent therapy
Humans
Inferior Wall Myocardial Infarction diagnostic imaging
Inferior Wall Myocardial Infarction prevention & control
Middle Aged
Pulmonary Embolism diagnostic imaging
Pulmonary Embolism prevention & control
Recurrence
ST Elevation Myocardial Infarction diagnostic imaging
ST Elevation Myocardial Infarction prevention & control
Secondary Prevention
Treatment Outcome
Embolism, Paradoxical etiology
Foramen Ovale, Patent complications
Inferior Wall Myocardial Infarction etiology
Pulmonary Embolism etiology
ST Elevation Myocardial Infarction etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2261
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC cardiovascular disorders
- Publication Type :
- Report
- Accession number :
- 34167471
- Full Text :
- https://doi.org/10.1186/s12872-021-02123-1