Acute myocardial infarction in a patient with patent foramen ovale as a form of paradoxical embolism: report of a case

Authors

  • Teresa Simón Paracuellos Cardiology Service, Miguel Servet University Hospital, Zaragoza, Aragon, Spain
  • Vanesa Alonso Ventura Cardiology Service, Miguel Servet University Hospital, Zaragoza, Aragon, Spain
  • Ángela Juez Jiménez Cardiology Service, Miguel Servet University Hospital, Zaragoza, Aragon, Spain
  • Marta López Ramón Cardiology Service, Miguel Servet University Hospital, Zaragoza, Aragon, Spain
  • Juan Pablo Gomollón García Cardiology Service, Miguel Servet University Hospital, Zaragoza, Aragon, Spain

DOI:

https://doi.org/10.37615/retic.v5n1a10

Keywords:

patent foramen ovale, paradoxical coronary embolism, acute myocardial infarction.

Abstract

Patent foramen ovale (PFO) is a remnant of the embryological circulation present in 25% of the adult remnant found in 25% of adults that can cause intracardiac shunt and produce paradoxical embolisms. The clinical presentation as myocardial infartion is uncommon, and clinical suspicion should be raised in patients with a low burden of traditional cardiovascular risk factors, once other sources of embolism have been ruled out. Therapeutical approach should be individualized on a case-by-case basis.

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References

Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984;59(1):17–20.

Wąsek WC, Samul W, Ryczek R, Skrobowski A. Unique case of ST-segment elevation myocardial infarction related to paradoxical embolization and simultaneous pulmonary embolization: clinical considerations on indications for patent foramen ovale closure in no-guidelines land. Circulation. 2015 Mar 31;131(13):1214-23.

Wöhrle J, Kochs M, Hombach V, Merkle N. Prevalence of myocardial scar in patients with cryptogenic cerebral ischemic events and patent foramen ovale. JACC Cardiovasc Imaging. 2010 Aug;3(8):833-9.

Windecker S, Stortecky S, Meier B. Paradoxical embolism. J Am Coll Cardiol. 2014 Jul 29;64(4):403-15.

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Published

2022-04-30

How to Cite

1.
Simón Paracuellos T, Alonso Ventura V, Juez Jiménez Ángela, López Ramón M, Gomollón García JP. Acute myocardial infarction in a patient with patent foramen ovale as a form of paradoxical embolism: report of a case. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Apr. 30 [cited 2024 Jul. 3];5(1):45-8. Available from: https://imagenretic.org/RevEcocarPract/article/view/433

Issue

Vol. 5 No. 1 (2022): Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Section

CLINICAL CASES

License

Copyright (c) 2022 Teresa Simón Paracuellos, Vanesa Alonso Ventura, Ángela Juez Jiménez, Marta López Ramón, Juan Pablo Gomollón García

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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