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CASE REPORT
Year : 2014  |  Volume : 15  |  Issue : 4  |  Page : 124-126

Paradoxical coronary artery embolism - A rare cause of myocardial infarction


Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USA

Correspondence Address:
Dr. Fayaz A Hakim
Mayo Clinic College of Medicine 13400 E Shea Blvd, Scottsdale, Arizona 85259
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.151089

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Paradoxical coronary artery embolism is a rare, but often an underdiagnosed cause of acute myocardial infarction. It should be considered in patient who presents with chest pain and otherwise having a low risk profile for atherosclerosis coronary artery disease. We describe a case of paradoxical coronary artery embolism causing ST segment elevation myocardial infarction in a patient with upper extremity venous thrombosis. Echocardiography demonstrated a patent foramen ovale (PFO) with bidirectional shunt. In addition to treatment of acute coronary event closure of the PFO should be considered to prevent a recurrence.


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