Acute myocardial infarction caused by paradoxical coronary embolization in a patient with a patent foramen ovale
Acute myocardial infarction caused by paradoxical coronary embolization in a patient with a patent foramen ovale
复制标题
DOI：
10.1067/mje.2001.114138
复制
发表时间：
2001-12-01
影响因子：
6.5
通讯作者：
Homma, S
中科院分区：
文献类型：
--
作者：
Gersony, DR;Kim, SH;Homma, S
我们描述了一位没有心脏危险因素的年轻女性患有急性心尖下心肌梗死的病例。冠状动脉造影表现与左冠状动脉前降支远端血栓一致。经食管超声心动图检查发现 Valsalva 动作后卵圆孔未闭，伴有中度右向左分流。未发现其他心脏栓塞来源。通过卵圆孔未闭的反常栓塞是一种罕见的现象，这似乎导致了该患者的心肌梗死。
We describe the case of a young woman without cardiac risk factors who had an acute inferoapical myocardial infarction. Coronary angiographic appearance was consistent with thrombus in the distal left anterior descending coronary artery. A patent foramen ovale with moderate right-to-left shunting after the Valsalva maneuver was detected by contrast transesophageal echocardiography. No other cardioembolic source was identified. Paradoxical embolization through a patent foramen ovale Is a rare phenomenon, which appeared to have resulted in myocardial infarction in this patient.