Rare Case of Myocardial Infarction in a 19-Year-Old Caused by a Paradoxical Coronary Artery Embolism

Kei, Jonathan; Avilla, Jennifer Kiss; Cavendish, Jeffrey J.

doi:10.7812/tpp/14-186

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…However, it has been reported that paradoxical embolism can result in ACS as well (25). Air embolism is a rare cause of ACS, but even a miniscule amount of air embolus can also disrupt coronary blood flow leading to devastating consequences (26). Air embolism generally occurs in the right coronary artery, which applies for patient in the supine position.…”

Section: Discussionmentioning

confidence: 99%

A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy

Huang

Yan

et al. 2019

Front. Neurol.

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We report a case of a 66-year-old female who burst into flaccid paralysis of the lower extremities, accompanied by loss of pain and temperature sensation below T4 level, during an oxygen–ozone injection for disc herniation. Half an hour later, she suffered from chest pain. Magnetic resonance imaging (MRI) showed long segment hyperintensity in the thoracic spinal cord from T2 to 10 level on sagittal T2-weighted images (T2WI). The electrocardiogram (ECG) showed ST-segment elevation in V1–V6 leads. She was diagnosed with spinal cord infarction and ST-elevation myocardial infarction (STEMI). Transthoracic echocardiography with saline contrast showed existence of a large patent foramen ovale (PFO) correlating with the detection of massive microbubbles in the left atrium. We discuss the potential role of paradoxical embolism in spinal cord infarction and myocardial infarction.

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Section: Discussionmentioning

confidence: 99%

A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy

Huang

Yan

et al. 2019

Front. Neurol.

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“…с одной стороны, классических критериев парадоксальной эмболии не было диагностировано, но была связь с выполнением маневра вальсальвы при занятии йогой. с другой стороны, наличие самой аневризмы мпп с зонами турбулентности и стаза крови представляется ещё одним механизмом, ведущим к формированию мелких тромбов в левом предсердии, изменению кровотока в коронарном бассейне [14,15,16]. в описанном клиническом случае окклюзия…”

Section: обсужденииеunclassified

Paradoxes in embolism: management of a young female patient with atrial septal defect after acute myocardial infarction

Kosmacheva¹,

Kizhvatova

Космачева

et al. 2022

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“…Coronary embolic phenomena (CEP) constitute an under-reported and underdiagnosed set of clinical phenomena, with potentially devastating consequences if not recognized and treated promptly [1][2][3]. From coronary air embolism to paradoxical venous thromboembolism, CEPs represent an etiologically heterogeneous group of events [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Coronary Embolic Phenomena: High-Impact, Low-Frequency Events

Malik¹,

Alam²,

Stawicki³

et al. 2020

Embolic Diseases - Evolving Diagnostic and Management Approaches

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Coronary embolic phenomena (CEP) are difficult to diagnose yet carry potentially devastating clinical consequences. The goal of this chapter is to outline key processes and pathophysiologic mechanisms underlying CEP, primarily in the context of acute coronary syndrome (ACS). Not surprisingly, most reported cases of CEP occur in the left coronary circulation, but some right-sided events have been reported. Overall, causes include thrombotic, septic/infectious, neoplastic, valverelated, and iatrogenic mechanisms such as air embolization. Coronary angiography remains the definitive diagnostic and therapeutic approach, with computed tomography being increasingly utilized. Transthoracic echocardiography (TTE) should be part of a routine work up for patients with suspected CEP. Holter/event monitoring for atrial fibrillation may also be indicated in patients with embolic phenomena. Clinical management includes procedural restoration of coronary blood flow, followed by appropriate anticoagulation or antiplatelet therapy, in conjunction with appropriate treatment of any arrhythmias or other associated cardiac manifestations or conditions. Timely diagnosis, based on a high index of suspicion (especially in high-risk population) may be important in improving morbidity and mortality in affected patients. Since CEPs are often underdiagnosed and may be due to a number of heterogeneous causes, the need arises for increasing provider awareness of these important phenomena, as well as for the implementation of appropriate clinical management guidelines.

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Rare Case of Myocardial Infarction in a 19-Year-Old Caused by a Paradoxical Coronary Artery Embolism

Cited by 4 publications

References 17 publications

A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy

A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy

Paradoxes in embolism: management of a young female patient with atrial septal defect after acute myocardial infarction

Coronary Embolic Phenomena: High-Impact, Low-Frequency Events

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