Portal de Periódicos da CAPES

Acute myocardial infarction caused by paradoxical coronary embolization in a patient with a patent foramen ovale

2001; Elsevier BV; Volume: 14; Issue: 12 Linguagem: Inglês

10.1067/mje.2001.114138

1097-6795

Deborah R. Gersony, Sangho Kim, Marco Di Tullio, Ali Fard, LeRoy E. Rabbani, Shunichi Homma,

Congenital Heart Disease Studies

We describe the case of a young woman without cardiac risk factors who had an acute inferoapical myocardial infarction. Coronary angiographic appearance was consistent with thrombus in the distal left anterior descending coronary artery. A patent foramen ovale with moderate right-to-left shunting after the Valsalva maneuver was detected by contrast transesophageal echocardiography. No other cardioembolic source was identified. Paradoxical embolization through a patent foramen ovale is a rare phenomenon, which appeared to have resulted in myocardial infarction in this patient. (J Am Soc Echocardiogr 2001;14:1227-9.)