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Paradoxical Embolism Due to Open Foramen Ovale with Atrial Septal Aneurysm as a Cause of Myocardial Infarction in a Young Male

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Abstract

Paradoxical embolism is a rare cause of myocardial infarction. We present a case of a young man who was admitted to our hospital with an inferior myocardial infarction. Coronary arteriography showed a total distal occlusion of a posterolateral branch of the circumflex artery. Contrast-enhanced echocardiography showed a large atrial septal aneurysm with a patent foramen ovale and massive right-to-left shunting. No other sources of cardiac embolism could be identified. In this case, paradoxical embolism probably has resulted in myocardial infarction.

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Authors and Affiliations

  1. VU University Medical Center, De Boelelaan, 1117, 1081 HV, Amsterdam, The Netherlands

    Pieter A. Dijkmans, Cees A Visser & Otto Kamp

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  1. Pieter A. Dijkmans
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  2. Cees A Visser
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  3. Otto Kamp
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Correspondence to Pieter A. Dijkmans.

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Dijkmans, P.A., Visser, C.A. & Kamp, O. Paradoxical Embolism Due to Open Foramen Ovale with Atrial Septal Aneurysm as a Cause of Myocardial Infarction in a Young Male. Int J Cardiovasc Imaging 21, 629–632 (2005). https://doi.org/10.1007/s10554-005-4708-z

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  • DOI: https://doi.org/10.1007/s10554-005-4708-z

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