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Updated: May 13, 2026

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
Published on: December 23, 2022
Death by patent foramen ovale in a soccer player
Thomas Pilgrim1, Bernhard Meier, Ahmed A Khattab
1Swiss Cardiovascular Center Bern, Bern University Hospital, 3010 Bern, Switzerland.
Insights
A trauma-induced venous thrombosis led to a rare case of heart attack and pulmonary emboli in a young man due to a heart defect. This highlights the importance of considering unusual causes for myocardial infarction and pulmonary embolism.
Area of Science:
- Cardiology
- Vascular Medicine
- Trauma Surgery
Background:
- ST-segment elevation myocardial infarction (STEMI) typically results from coronary artery thrombosis.
- Cardiogenic shock is a severe complication of STEMI, indicating extensive myocardial damage.
- Pulmonary embolism (PE) often originates from deep vein thrombosis (DVT) in the lower extremities.
Abstract:
A 34-year-old male patient was referred for primary percutaneous coronary intervention for ST-segment elevation myocardial infarction with cardiogenic shock and was found to have embolic left coronary artery occlusion and subsegmental pulmonary artery emboli as a consequence of venous thrombosis to trauma to the thigh in the presence of a patent foramen ovale.
