The International Journal of Cardiovascular Imaging

, Volume 21, Issue 6, pp 629–632

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


DOI: 10.1007/s10554-005-4708-z

Cite this article as:
Dijkmans, P.A., Visser, C.A. & Kamp, O. Int J Cardiovasc Imaging (2005) 21: 629. doi:10.1007/s10554-005-4708-z


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.


atrial septal aneurysm myocardial infarction paradoxical embolization 

Copyright information

© Springer 2005

Authors and Affiliations

  • Pieter A. Dijkmans
    • 1
  • Cees A Visser
    • 1
  • Otto Kamp
    • 1
  1. 1.VU University Medical CenterAmsterdamThe Netherlands