A case of acute pulmonary embolism and acute myocardial infarction with suspected paradoxical embolism after laparoscopic surgery

1999 ◽  
Vol 14 (4) ◽  
pp. 197-200 ◽  
Author(s):  
Shinji Uchida ◽  
Mika Yamamoto ◽  
Yoshiko Masaoka ◽  
Hiroshi Mikouchi ◽  
Yoshitomo Nishizaki
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Laparoscopic Surgery ◽  
Acute Pulmonary Embolism ◽  
Paradoxical Embolism

scholarly journals Concomitant acute myocardial infarction and acute pulmonary embolism caused by paradoxical embolism: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weiwei Chen ◽  
Zhixi Yu ◽  
Siming Li ◽  
Kenji Wagatsuma ◽  
Beibei Du ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Acute Pulmonary Embolism ◽  
Pulmonary Arteries ◽  
Acute Chest Pain ◽  
Paradoxical Embolism ◽  
Multiple Imaging ◽  
Low Incidence

Abstract Background Due to its low incidence and diverse manifestations, paradoxical embolism (PDE) is still under-reported and is not routinely considered in differential diagnoses. Concomitant acute myocardial infarction (AMI) and acute pulmonary embolism (PE) caused by PDE has rarely been reported. Case presentation A 45-year-old woman presented with acute chest pain and difficulty with breathing. Multiple imaging modules including ECG, echocardiography, emergency cardioangiogram (CAG), and CT angiography of the pulmonary arteries showed acute occlusion of the posterolateral artery and acute PE. After coronary aspiration, no residual stenosis was observed. One month later, a bubble study showed inter-atrial communication via a patent foramen ovale (PFO). The AMI in this patient was finally attributed to PDE via the PFO. PFO closure was performed, and long-term anticoagulation was prescribed to prevent recurrent thromboembolic events. Conclusions PDE via PFO is a rare etiology of AMI, especially in patients with concomitant AMI and PE. Clinicians should be vigilant of this possibility and close the inter-atrial channel for secondary prevention.

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 Acute Pulmonary Embolism Masquerading as Acute Myocardial Infarction

2015 ◽  
Vol 28 (1) ◽  
pp. 69-70 ◽  
Author(s):  
Abhijit Ghatak ◽  
Ali Alsulaimi ◽  
Yvan Maque Acosta ◽  
Alexander Ferreira
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Acute Pulmonary Embolism

scholarly journals Acute myocardial infarction caused by paradoxical embolism with concomitant pulmonary embolism

2011 ◽  
Vol 2011 (jul20 1) ◽  
pp. bcr0320113953-bcr0320113953 ◽  
Author(s):  
A. Hline ◽  
N. Malik ◽  
A. Khokhar ◽  
R. Aggarwal
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Paradoxical Embolism
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