Document Detail

Impending paradoxical embolism presenting as myocardial infarction.
MedLine Citation:
PMID:  23853673     Owner:  NLM     Status:  Publisher    
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.
Denise M Dietz; John D Cleveland; Kelly G Chewning; John M Dent; John A Kern; Ellen C Keeley
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Publication Detail:
Journal Detail:
Title:  Journal of cardiology cases     Volume:  7     ISSN:  1878-5409     ISO Abbreviation:  J Cardiol Cases     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-7-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101549579     Medline TA:  J Cardiol Cases     Country:  -    
Other Details:
Languages:  ENG     Pagination:  e145-e148     Citation Subset:  -    
Department of Medicine, University of Virginia, Charlottesville, VA, USA ; Division of Cardiology, University of Virginia, Charlottesville, VA, USA.
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