Association between acute myocardial infarction and death in 386 patients with a thrombus straddling a patent foramen ovale

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.

Download Full-text

Acute myocardial infarction involving two coronary arteries due to a patent foramen ovale

Wiener klinische Wochenschrift ◽

10.1007/s00508-010-1410-5 ◽

2010 ◽

Vol 122 (15-16) ◽

pp. 465-465

Author(s):

Sebastian Kohl ◽

Thomas Bartel ◽

Silvana Mueller ◽

Otmar Pachinger ◽

Bernhard Metzler

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Coronary Arteries ◽

Patent Foramen Ovale ◽

Foramen Ovale

Download Full-text

Prevalence of patent foramen ovale in patients with acute myocardial infarction and angiographically normal coronary arteries

The American Journal of Cardiology ◽

10.1016/s0002-9149(00)00772-4 ◽

2000 ◽

Vol 85 (11) ◽

pp. 1368-1370 ◽

Cited By ~ 42

Author(s):

Randy Crump ◽

Adrian H Shandling ◽

Bruce Van Natta ◽

Myrvin Ellestad

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Coronary Arteries ◽

Patent Foramen Ovale ◽

Foramen Ovale ◽

Normal Coronary Arteries

Download Full-text

Acute myocardial infarction with concomitant pulmonary embolism as a result of patent foramen ovale

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2014.12.025 ◽

2015 ◽

Vol 33 (7) ◽

pp. 984.e5-984.e7 ◽

Cited By ~ 4

Author(s):

Mert İlker Hayıroğlu ◽

Emrah Bozbeyoğlu ◽

Şükrü Akyüz ◽

Özlem Yıldırımtürk ◽

Mehmet Bozbay ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Pulmonary Embolism ◽

Patent Foramen Ovale ◽

Foramen Ovale

Download Full-text

THE CLOT THICKENS: CONCOMITANT PULMONARY EMBOLISM AND ACUTE MYOCARDIAL INFARCTION SECONDARY TO PARADOXICAL EMBOLISM THROUGH A PATENT FORAMEN OVALE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)33171-7 ◽

2019 ◽

Vol 73 (9) ◽

pp. 2565

Author(s):

Isaac Tea ◽

Phillip Gary ◽

Mario Caruso ◽

Sharif Ahmed ◽

William Surkis ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Pulmonary Embolism ◽

Patent Foramen Ovale ◽

Paradoxical Embolism ◽

Foramen Ovale

Download Full-text

Ultra-high pre-membrane lung oxygen saturation in a patient on veno-arterial extracorporeal membrane oxygenation

Perfusion ◽

10.1177/0267659119872661 ◽

2019 ◽

Vol 35 (4) ◽

pp. 348-350

Author(s):

Sheng Zhang ◽

Ronghai Lin ◽

Yongpo Jiang ◽

YaFei Mi ◽

Yinghe Xu

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Extracorporeal Membrane Oxygenation ◽

Cardiogenic Shock ◽

Oxygen Saturation ◽

Patent Foramen Ovale ◽

Foramen Ovale ◽

Membrane Lung ◽

Membrane Oxygenation ◽

Chamber View

A 55-year-old man who suffered from acute myocardial infarction complicated with cardiogenic shock was administered veno-arterial extracorporeal membrane oxygenation. Ultra-high pre-membrane lung oxygen saturation of 93% was observed. Transthoracic echocardiography revealed the presence of patent foramen ovale. The four-chamber view showed that the tip of the cannula was located in the patent foramen ovale, which resulted in a left-to-right shunt. Without adjusting the position of the drainage cannula, the patient was weaned from extracorporeal membrane oxygenation at 136 hours after initiation and survived to hospital discharge.

Download Full-text