open access

Vol 11, No 6 (2016)
Case Reports
Published online: 2017-01-17
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Paradoxical emboli as a rare cause of myocardial infarction – treatment and prophylaxis

Robert Sabiniewicz, Jarosław Meyer-Szary, Dariusz Ciećwierz, Miłosz Jaguszewski
DOI: 10.5603/FC.2016.0111
·
Folia Cardiologica 2016;11(6):539-541.

open access

Vol 11, No 6 (2016)
Case Reports
Published online: 2017-01-17

Abstract

We present the case of 58-year-old male patient hospitalized due to stenocardial pain (CCS Class IV). Cardiac markers and ECG met the criteria for ST-segment elevation myocardial infarction. Urgent coronary angiography revealed a thrombus in intermediate branch of the left coronary artery; the other coronary arteries were normal. The patient underwent successful treatment. Further diagnostics revealed that the cause of paradoxical embolization was a patent foramen ovale (PFO), which has been successfully closed with percutaneously implanted closure device.

Abstract

We present the case of 58-year-old male patient hospitalized due to stenocardial pain (CCS Class IV). Cardiac markers and ECG met the criteria for ST-segment elevation myocardial infarction. Urgent coronary angiography revealed a thrombus in intermediate branch of the left coronary artery; the other coronary arteries were normal. The patient underwent successful treatment. Further diagnostics revealed that the cause of paradoxical embolization was a patent foramen ovale (PFO), which has been successfully closed with percutaneously implanted closure device.

Get Citation

Keywords

patent foramen ovale, myocardial infarction, ischemic stroke

About this article
Title

Paradoxical emboli as a rare cause of myocardial infarction – treatment and prophylaxis

Journal

Folia Cardiologica

Issue

Vol 11, No 6 (2016)

Pages

539-541

Published online

2017-01-17

DOI

10.5603/FC.2016.0111

Bibliographic record

Folia Cardiologica 2016;11(6):539-541.

Keywords

patent foramen ovale
myocardial infarction
ischemic stroke

Authors

Robert Sabiniewicz
Jarosław Meyer-Szary
Dariusz Ciećwierz
Miłosz Jaguszewski

References (9)
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  2. Furlan AJ, Reisman M, Massaro J, et al. CLOSURE I Investigators. Closure or medical therapy for cryptogenic stroke with patent foramen ovale. N Engl J Med. 2012; 366(11): 991–999.
  3. Pickett CA, Villines TC, Ferguson MA, et al. Percutaneous closure versus medical therapy alone for cryptogenic stroke patients with a patent foramen ovale: meta-analysis of randomized controlled trials. Tex Heart Inst J. 2014; 41(4): 357–367.
  4. Agarwal S, Bajaj NS, Kumbhani DJ, et al. Meta-analysis of transcatheter closure versus medical therapy for patent foramen ovale in prevention of recurrent neurological events after presumed paradoxical embolism. JACC Cardiovasc Interv. 2012; 5(7): 777–789.
  5. Croft AP, Khan JN, Chittari MV, et al. Paradoxical coronary artery embolism causing acute myocardial infarction in a young woman with factor V Leiden thrombophillia. J R Coll Physicians Edinb. 2012; 42(3): 218–220.
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  7. Kujime S, Hara H, Enomoto Y, et al. A case of paradoxical embolic ST-segment elevation myocardial infarction triggered by sleep apnea. Intern Med. 2012; 51(14): 1851–1855.
  8. Hline A, Malik N, Khokhar A, et al. Acute myocardial infarction caused by paradoxical embolism with concomitant pulmonary embolism. BMJ Case Rep. 2011.
  9. Jamiel A, Alsaileek A, Ayoub K, et al. Paradoxical embolism in acute myocardial infarction in a patient with congenital heart disease. Heart Views. 2012; 13(3): 111–113.

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