Publication
Acute coronary syndrome of paradoxical origin
| dc.contributor.author | Ferreira, AR | |
| dc.contributor.author | Freitas, A | |
| dc.contributor.author | Magno, P | |
| dc.contributor.author | Soares, A | |
| dc.contributor.author | Abreu, PF | |
| dc.contributor.author | Neves, JP | |
| dc.contributor.author | Gil, VM | |
| dc.date.accessioned | 2015-01-14T16:16:20Z | |
| dc.date.available | 2015-01-14T16:16:20Z | |
| dc.date.issued | 2013 | |
| dc.description.abstract | 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. | por |
| dc.identifier.citation | Rev Port Cardiol. 2013 Oct;32(10):817-21 | por |
| dc.identifier.issn | , 0870-2551 | |
| dc.identifier.uri | http://hdl.handle.net/10400.10/1331 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Sociedade Portuguesa de Cardiologia | por |
| dc.relation.publisherversion | http://www.elsevier.pt/en/revistas/revista-portuguesa-cardiologia-334/artigo/acute-coronary-syndrome-of-paradoxical-origin-90252429 | por |
| dc.subject | Paradoxical embolism | por |
| dc.subject | Myocardial infarction | por |
| dc.subject | Embolia paradoxal | por |
| dc.subject | Enfarte do miocárdio | por |
| dc.title | Acute coronary syndrome of paradoxical origin | por |
| dc.title.alternative | Síndrome coronária aguda de origem paradoxal | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Lisboa | por |
| oaire.citation.endPage | 821 | por |
| oaire.citation.startPage | 817 | por |
| oaire.citation.title | Revista Portuguesa de Cardiologia | por |
| oaire.citation.volume | 32 | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |