Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.10/1331
Título: Acute coronary syndrome of paradoxical origin
Outros títulos: Síndrome coronária aguda de origem paradoxal
Autor: Ferreira, AR
Freitas, A
Magno, P
Soares, A
Abreu, PF
Neves, JP
Gil, VM
Palavras-chave: Paradoxical embolism
Myocardial infarction
Embolia paradoxal
Enfarte do miocárdio
Data: 2013
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2013 Oct;32(10):817-21
Resumo: We describe a rare case of acute myocardial infarction secondary to paradoxical embolism complicating acute pulmonary embolism. A 44-year-old woman presented to the emergency department with chest pain. The physical examination was unremarkable except for oxygen saturation of 75%, and the electrocardiogram showed ST-segment elevation in the inferior leads. Urgent coronary angiography showed a distal occlusion of the right coronary artery and multiple thrombi were aspirated. Despite relief of chest pain and electrocardiogram normalization, her oxygen saturation remained low (90%) with high-flow oxygen by mask. The transthoracic echocardiogram showed a mass in the left atrium and dilatation of the right chambers, while the transesophageal echocardiogram showed a thrombus attached to the interatrial septum in the region of the foramen ovale. Color flow imaging was consistent with a patent foramen ovale. Thoracic computed tomography angiography documented thrombi in both branches of the pulmonary trunk. After five days on anticoagulation, the patient underwent surgical foramen ovale closure.
Peer review: yes
URI: http://hdl.handle.net/10400.10/1331
ISSN: , 0870-2551
Versão do Editor: http://www.elsevier.pt/en/revistas/revista-portuguesa-cardiologia-334/artigo/acute-coronary-syndrome-of-paradoxical-origin-90252429
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