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Impending paradoxical embolism presenting as myocardial infarction.

ABSTRACT: We present a spectrum of findings with transthoracic echocardiography, coronary angiography, and open surgical exploration in a 54-year-old man who presented with an acute ST segment elevation myocardial infarction and was diagnosed with impending paradoxical emboli. He underwent successful surgical removal of the thrombus.

Learning objective

Impending paradoxical embolism, a biatrial thromboembolus in transit across a patent foramen ovale, is associated with a 20% mortality rate. Very rarely does it present as a ST segment elevation myocardial infarction. The optimal management (medical or surgical) for those who present with it remains a subject of debate, although surgery has been associated with less systemic embolization.

SUBMITTER: Dietz DM

PROVIDER: S-EPMC3708660 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Impending paradoxical embolism presenting as myocardial infarction.

Dietz Denise M DM Cleveland John D JD Chewning Kelly G KG Dent John M JM Kern John A JA Keeley Ellen C EC

Journal of cardiology cases 20130501 5

We present a spectrum of findings with transthoracic echocardiography, coronary angiography, and open surgical exploration in a 54-year-old man who presented with an acute ST segment elevation myocardial infarction and was diagnosed with impending paradoxical emboli. He underwent successful surgical removal of the thrombus.<h4>Learning objective</h4>Impending paradoxical embolism, a biatrial thromboembolus in transit across a patent foramen ovale, is associated with a 20% mortality rate. Very ra ...[more]

PMID: 23853673

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