Paradoxical embolism through patent foramen ovale as a cause of myocardial infarction

2021 ◽  
Author(s):  
Naim Mridha ◽  
Eloise Ward ◽  
Samual Hayman ◽  
Arun Dahiya ◽  
Sandhir Prasad
Keyword(s):  
Myocardial Infarction ◽  
Patent Foramen Ovale ◽  
Paradoxical Embolism ◽  
Foramen Ovale

scholarly journals Acute Myocardial Infarction Secondary to Paradoxical Embolism

2020 ◽  
Author(s):  
Abdullah R Alenezi ◽  
Muath Alanbaei ◽  
Islam Abouelenein
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Patent Foramen Ovale ◽  
Cryptogenic Stroke ◽  
Coronary Event ◽  
Paradoxical Embolism ◽  
Foramen Ovale ◽  
Artery Embolism ◽  
Coronary Artery Embolism

Patent foramen ovale is a risk factor for systemic embolic events such as cryptogenic stroke. Far less commonly, patent foramen ovale is associated with non-cerebral systemic embolic events. Paradoxical coronary artery embolism is a rare and underdiagnosed cause of acute myocardial infarction. It should be considered in patients presenting with myocardial infarction and an otherwise low-risk profile for atherosclerotic coronary artery disease. We describe a case of paradoxical coronary artery embolism causing ST elevation myocardial infarction. Echocardiography demonstrated patent foramen ovale with a significant shunt. In addition to the treatment of the acute coronary event, patent foramen ovale closure was performed to prevent recurrent paradoxical embolic events.

scholarly journals Epidemiology of Myocardial Infarction Caused by Presumed Paradoxical Embolism via a Patent Foramen Ovale

2017 ◽  
Vol 81 (10) ◽  
pp. 1484-1489 ◽  
Author(s):  
Franz X. Kleber ◽  
Telse Hauschild ◽  
Antonia Schulz ◽  
Anne Winkelmann ◽  
Leonhard Bruch
Keyword(s):  
Myocardial Infarction ◽  
Patent Foramen Ovale ◽  
Paradoxical Embolism ◽  
Foramen Ovale

Myocardial infarction associated with patent foramen ovale and paradoxical embolism: A case series

2015 ◽  
Vol 180 ◽  
pp. 34-37 ◽  
Author(s):  
Ulf Neisius ◽  
David B. Northridge ◽  
Nicholas L. Cruden ◽  
Martin A. Denvir
Keyword(s):  
Myocardial Infarction ◽  
Patent Foramen Ovale ◽  
Case Series ◽  
Paradoxical Embolism ◽  
Foramen Ovale

scholarly journals Concomitant acute pulmonary embolism, myocardial infarction and ischemic stroke due to paradoxical embolism from a patent foramen ovale: a case report

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Kiyoshi Takemoto ◽  
Michitaka Nakamura ◽  
Kazuaki Atagi
Keyword(s):  
Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Ischemic Stroke ◽  
Medical History ◽  
Patent Foramen Ovale ◽  
Acute Pulmonary Embolism ◽  
Cryptogenic Stroke ◽  
Paradoxical Embolism ◽  
Whole Body ◽  
Foramen Ovale

ABSTRACT A patent foramen ovale (PFO) is a cause of paradoxical embolism. Although most patients with a PFO are asymptomatic, various clinical manifestations may be associated with PFO. The most important is a cryptogenic stroke. Concomitant acute pulmonary embolism (APE), acute myocardial infarction (AMI) and acute ischemic stroke (AIS) due to paradoxical embolism from a PFO are extremely rare. We describe a 77-year-old woman with a past medical history of hypertension who was transferred due to a sudden onset of dyspnea followed by cardiopulmonary arrest. Based on the patient’s medical history, transthoracic and transesophageal echocardiography, coronary angiography, and a whole-body contrasted computed tomography, we diagnosed concomitant APE, AMI and AIS caused by a paradoxical embolism from a PFO. Appropriate knowledge of the pathophysiology of this rare critical illness is important for prompt diagnosis and treatment.

scholarly journals NON ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION SECONDARY TO PARADOXICAL EMBOLISM VIA A PATENT FORAMEN OVALE

2017 ◽  
Vol 69 (11) ◽  
pp. 2424
Author(s):  
Adriana Rauseo ◽  
Uday G. Sandhu ◽  
Raymundo A. Quintana-Quezada ◽  
Ala Eddin S. Sagar ◽  
Sam Chitsaz ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Patent Foramen Ovale ◽  
Paradoxical Embolism ◽  
Foramen Ovale ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Patent Foramen Ovale, the Role of Antiplatelet Therapy Alone or Anticoagulant Therapy Alone Versus Device Closure for Cryptogenic Stroke: A Review of the Literature and Current Recommendations

2020 ◽  
Vol 18 (2) ◽  
pp. 135-150
Author(s):  
Harsha S. Nagarajarao ◽  
Chandra P. Ojha ◽  
Archana Kedar ◽  
Debabrata Mukherjee
Keyword(s):  
Patent Foramen Ovale ◽  
Cryptogenic Stroke ◽  
Narrow Channel ◽  
Paradoxical Embolism ◽  
Current Evidence ◽  
Foramen Ovale ◽  
The Right ◽  
The Relationship ◽  
Current Guidelines

: Cryptogenic stroke and its relation to the Patent Foramen Ovale (PFO) is a long-debated topic. Recent clinical trials have unequivocally established the relationship between cryptogenic strokes and paradoxical embolism across the PFO. This slit-like communication exists in everyone before birth, but most often closes shortly after birth. PFO may persist as a narrow channel of communication between the right and left atria in approximately 25-27% of adults. : In this review, we examine the clinical relevance of the PFO with analysis of the latest trials evaluating catheter-based closure of PFO’s for cryptogenic stroke. We also review the current evidence examining the use of antiplatelet medications versus anticoagulants for stroke prevention in those patients with PFO who do not qualify for closure per current guidelines.

Sign in / Sign up

Export Citation Format

Share Document