Document Detail

Myocardial infarction due to paradoxical embolism in a patient with large atrial septal defect.
MedLine Citation:
PMID:  19805848     Owner:  NLM     Status:  MEDLINE    
We present the case of a patient who presented with acute inferior myocardial infarction and embolic occlusion of the distal left anterior descending and proximal right coronary artery. A large atrial septal defect (ASD) was seen on transesophageal echocardiography and the ASD was closed during the same session as coronary angiography and percutaneous coronary intervention. The presence of embolic or thrombotic occlusions of coronary arteries should prompt interventional cardiologists to look for a patent foramen ovale or ASD and perform percutaneous closure right away.
Florim Cuculi; Mario Togni; Bernhard Meier
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  21     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-06     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E184-6     Citation Subset:  IM    
Department of Cardiology, University Hospital Bern, Switzerland.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Coronary Thrombosis / complications*,  radiography,  therapy
Echocardiography, Transesophageal
Heart Septal Defects, Atrial / complications*,  therapy,  ultrasonography
Middle Aged
Myocardial Infarction / diagnosis*,  etiology*
Septal Occluder Device
Treatment Outcome

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