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Peripheral thrombosis causing simultaneous saddle pulmonary embolism and paradoxical ST elevation myocardial infarction resulting in cardiovascular collapse
Journal article   Peer reviewed

Peripheral thrombosis causing simultaneous saddle pulmonary embolism and paradoxical ST elevation myocardial infarction resulting in cardiovascular collapse

Hafiz Ghafoor, Nitish Kumar Sharma, Zeba Hashmath and Eddison Ramsaran
BMJ case reports, Vol.14(4), p.e240312
04/21/2021
DOI: 10.1136/bcr-2020-240312
PMID: 33883112

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Abstract

Paradoxical coronary artery embolism is often an underdiagnosed cause of acute myocardial infarction (MI). It should always be considered in patient with acute MI and a low risk profile for atherosclerotic coronary artery disease. We describe a patient with simultaneous acute saddle pulmonary embolism (PE) and acute ST segment elevation MI due to paradoxical coronary artery embolism. Transoesophageal echocardiography demonstrated a patent foramen ovale with right to left shunt and large saddle PE in the main pulmonary artery and coronary angiography demonstrated acute thrombotic occlusion of the right coronary artery.
Embolism, Paradoxical Foramen Ovale, Patent - complications Foramen Ovale, Patent - diagnostic imaging Humans Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - etiology ST Elevation Myocardial Infarction - complications ST Elevation Myocardial Infarction - diagnostic imaging Thrombosis

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