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Impending paradoxical embolism presenting as myocardial infarction
Denise M Dietz1, John D Cleveland, Kelly G Chewning
1Department of Medicine, University of Virginia, Charlottesville, VA, USA ; Division of Cardiology, University of Virginia, Charlottesville, VA, USA.
Journal of Cardiology Cases
|July 16, 2013
Summary
A rare case of impending paradoxical embolism, a blood clot traveling through a heart defect, was successfully treated with surgery. This condition, presenting as myocardial infarction, typically has a high mortality rate.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Impending paradoxical embolism involves a blood clot traversing a patent foramen ovale, posing a significant mortality risk.
- Presentation as ST segment elevation myocardial infarction is exceedingly rare.
- Optimal management remains debated, but surgical intervention is linked to reduced systemic embolization.
Purpose of the Study:
- To report a case of impending paradoxical embolism presenting as ST segment elevation myocardial infarction.
- To discuss the diagnostic findings and successful surgical management of this rare condition.
Main Methods:
- Transthoracic echocardiography
- Coronary angiography
- Open surgical exploration
Main Results:
- Diagnosis of impending paradoxical embolism in a 54-year-old male with ST segment elevation myocardial infarction.
- Successful surgical removal of the thrombus.
Conclusions:
- Surgical management can be effective for impending paradoxical embolism presenting as myocardial infarction.
- Early diagnosis and intervention are crucial for improving outcomes in such rare cases.
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