Document Detail

Paradoxical coronary embolism causing non-ST segment elevation myocardial infarction in a case of pulmonary embolism.
MedLine Citation:
PMID:  15492899     Owner:  NLM     Status:  MEDLINE    
We describe the case of a 61-year-old woman who simultaneously suffered a pulmonary embolism and a myocardial infarction due to paradoxical coronary artery embolism. Transesophageal echocardiography with injection of agitated hydroxyethyl starch revealed a patent foramen ovale. Thrombophlebistis of the left saphenous vein with extension of thrombus into the femoral vein could be identified as the source of embolism. Paradoxical coronary embolism is an underrecognized cause of MI. Diagnosis is particularly difficult, when MI and PE coincide, because of the similarity in clinical signs and symptoms of both entities. A high level of clinical suspicion and echocardiography, especially if performed soon after presentation, can be the clue to early diagnosis of PDE.
D Haghi; T Sueselbeck; T Papavassiliu; K K Haase; M Borggrefe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zeitschrift für Kardiologie     Volume:  93     ISSN:  0300-5860     ISO Abbreviation:  Z Kardiol     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-19     Completed Date:  2005-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0360430     Medline TA:  Z Kardiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  824-8     Citation Subset:  IM    
I. Medizinische Klinik, Universitätsklinikum Mannheim, 68167, Mannheim, Germany.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography*
Echocardiography, Transesophageal*
Embolism, Paradoxical / complications*,  diagnosis,  genetics
Factor V / genetics
Femoral Vein
Heart Septal Defects, Atrial / complications*,  diagnosis
Heparin / administration & dosage
Middle Aged
Myocardial Infarction / diagnosis,  etiology*,  genetics,  therapy
Pulmonary Embolism / diagnosis,  etiology*,  genetics
Saphenous Vein
Thrombophlebitis / complications,  diagnosis,  genetics
Tomography, X-Ray Computed
Reg. No./Substance:
0/factor V Leiden; 9001-24-5/Factor V; 9005-49-6/Heparin

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