Acute ST-elevation myocardial infarction secondary to paradoxical embolism

Krishnamoorthy, Suresh; Osman, Faizel; Nadir, Adnan; Creamer, Jon

doi:10.1016/j.ijcard.2007.04.177

Cited by 8 publications

(6 citation statements)

References 5 publications

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“…3 Proven paradoxical systemic embolism is rare and mainly associated with stroke, while myocardial ischemia is even more uncommon. 3,4 Accordingly, the optimal management of these patients remains to be defined because fibrinolytic treatment alone does not provide better results that surgical thrombectomy without clear protective effects against possible recurrences. Our patient presented with a saddle-shaped pulmonary thrombus, pulmonary and paradoxical coronary embolism due to an atrial thrombus entrapped in a previously undiagnosed PFO.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary and paradoxical coronary embolism with a patent foramen ovale

Falcetta¹,

Scioti²,

Barzaghi³

et al. 2018

Asian Cardiovasc Thorac Ann

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Paradoxical embolism through a patent foramen ovale is a very unusual event considering that this cardiac anomaly may be present in as much as 26% of the general population. We describe the case of a 68-year-old man with a pulmonary and paradoxical coronary embolism in the presence of a patent foramen ovale. The finding of a worm-shaped thrombus though the atrial septum together with the risk of further embolization through the atrial septum prompted surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Pulmonary and paradoxical coronary embolism with a patent foramen ovale

Falcetta¹,

Scioti²,

Barzaghi³

et al. 2018

Asian Cardiovasc Thorac Ann

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“…Paradoxical coronary embolism secondary to DVT is a relatively rare phenomenon with < 50 cases of proven [5-9] and presumed [9-21] cases reported in literature based on our literature search. Paradoxical thromboembolism is proposed to have occurred if the following criteria are fulfilled [14]: 1) evidence of arterial emboli in the absence of source in the left heart; 2) identified source in the venous system; and 3) presence of a communication between the venous and arterial circulation. The diagnosis is defined as “proven” when an embolus is identified in the abnormal communication between the venous and arterial systems.…”

Section: Discussionmentioning

confidence: 99%

Paradoxical Thromboembolism/ST-Elevation Myocardial Infarction via a Patent Foramen Ovale in Sub-Massive Pulmonary Embolism Following an Upper Extremity Deep Venous Thrombosis: Is It Time for a Change in the Standard of Care?

Tukaye

Cavallazzi

2014

Cardiol Res

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The objective of this case study is to discuss a rare case of proven paradoxical thromboembolism captured in-transit. A 23-year-old female with a diagnosis of right internal jugular deep vein thrombus who developed acute onset chest pain, dyspnea and hypotension, was selected for the study. Sub-massive PE and STEMI were diagnosed. Transthoracic echocardiogram revealed a left ventricular (LV) mass moving across the aortic valve. Soon after, the patient developed numbness of right extremities with non-palpable pulses. A transesophageal echocardiogram revealed absent LV mass, PFO, left atrial mass entering through the PFO and emboli in bilateral pulmonary arteries. We report a case of sub-massive PE and paradoxical proven coronary and upper extremity embolism, captured in-transit, following destabilization of an UEDVT in a patient with PFO.

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“…впервые случай парадоксальной эмболии был описан в 1877 г. [4]. в качестве подтверждения события парадоксальной эмболии рассматриваются следующие критерии: событие артериальной эмболии при отсутствии источника в левых отделах сердца, идентификация источника в венозной системе, визуализация артерио-венозного шунта [3].…”

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