| Acute myocardial infarction probably caused by paradoxical embolus in a pregnant woman. | |
| | |
MedLine Citation:
|
PMID: 14966073 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 19 year old pregnant woman presented to the coronary care unit with an acute anterior myocardial infarction. She was treated with primary percutaneous transluminal coronary angioplasty of the proximal left anterior descending coronary artery. Ultrasound examination showed patent foramen ovale (PFO) and atrial septal aneurysm. The patient was a heterozygote carrier of factor V Leiden. Despite the lack of a clear clue, it was considered that the pathophysiological cause of this infarction was a paradoxical embolus in the left coronary artery. Pregnancy and factor V Leiden carriership are associated with increased risk of venous thromboembolism and the association between PFO and atrial septal aneurysm is a strong risk factor for systemic embolisation. |
| | |
Authors:
|
P Agostoni; G Gasparini; G Destro |
Related Documents
:
|
12556263 - Anomalous hepatic venous drainage into the left atrium: an unusual cause of hypoxemia. 19488803 - All cardiac right ventricular outpouches are not created equal. 21548413 - Left bundle branch block (lbbb) in patients with heart failure (hf) in mostar region of... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Heart (British Cardiac Society) Volume: 90 ISSN: 1468-201X ISO Abbreviation: Heart Publication Date: 2004 Mar |
Date Detail:
|
Created Date: 2004-02-17 Completed Date: 2004-03-16 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9602087 Medline TA: Heart Country: England |
Other Details:
|
Languages: eng Pagination: e12 Citation Subset: AIM; IM |
Affiliation:
|
Institute of Cardiology, Ospedale Civile Maggiore, University of Verona, Verona, Italy. agostonipf@genie.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Angioplasty, Transluminal, Percutaneous Coronary Coronary Stenosis / etiology, radiography Embolism, Paradoxical / complications* Factor V / genetics Female Heart Aneurysm / ultrasonography Heart Septal Defects, Atrial / ultrasonography Humans Mutation / genetics Myocardial Infarction / etiology*, therapy Pregnancy Pregnancy Complications, Cardiovascular / etiology* |
| Chemical | |
Reg. No./Substance:
|
0/factor V Leiden; 9001-24-5/Factor V |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Response of very small (2 mm) porcine coronary arteries to balloon angioplasty and stent implantatio...
Next Document: Evidence for "lumen sealing" with sirolimus eluting stents in the treatment of complex cor...