Peripheral thrombosis causing simultaneous saddle pulmonary embolism and paradoxical ST elevation myocardial infarction resulting in cardiovascular collapse. Issue 4 (21st April 2021)

• Record Type: Journal Article
• Authors: Ghafoor, Hafiz; Sharma, Nitish Kumar; Hashmath, Zeba; Ramsaran, Eddison
• Is Part Of: BMJ case reports. Volume 14:Issue 4(2021)
• Publication Date: 2021-04-21
• Subjects: interventional cardiology -- ischaemic heart disease -- venous thromboembolism; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-240312
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Paradoxical coronary artery embolism is often an underdiagnosed cause of acute myocardial infarction (MI). It should always be considered in patient with acute MI and a low risk profile for atherosclerotic coronary artery disease. We describe a patient with simultaneous acute saddle pulmonary embolism (PE) and acute ST segment elevation MI due to paradoxical coronary artery embolism. Transoesophageal echocardiography demonstrated a patent foramen ovale with right to left shunt and large saddle PE in the main pulmonary artery and coronary angiography demonstrated acute thrombotic occlusion of the right coronary artery.