Detalhes bibliográficos
| Resumo: | We describe a rare case of acute myocardial infarction secondary to paradoxical embolism complicating acute pulmonary embolism. A 44-year-old woman presented to the emergency department with chest pain. The physical examination was unremarkable except for oxygen saturation of 75%, and the electrocardiogram showed ST-segment elevation in the inferior leads. Urgent coronary angiography showed a distal occlusion of the right coronary artery and multiple thrombi were aspirated. Despite relief of chest pain and electrocardiogram normalization, her oxygen saturation remained low (90%) with high-flow oxygen by mask. The transthoracic echocardiogram showed a mass in the left atrium and dilatation of the right chambers, while the transesophageal echocardiogram showed a thrombus attached to the interatrial septum in the region of the foramen ovale. Color flow imaging was consistent with a patent foramen ovale. Thoracic computed tomography angiography documented thrombi in both branches of the pulmonary trunk. After five days on anticoagulation, the patient underwent surgical foramen ovale closure. |
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| Autores principais: | Ferreira, AR |
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| Outros Autores: | Freitas, A; Magno, P; Soares, A; Abreu, PF; Neves, JP; Gil, VM |
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| Assunto: | Paradoxical embolism Myocardial infarction Embolia paradoxal Enfarte do miocárdio |
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| Ano: | 2013 |
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| País: | Portugal |
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| Tipo de documento: | artigo |
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| Tipo de acesso: | acesso aberto |
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| Instituição associada: | Hospital Prof. Dr. Fernando Fonseca E.P.E. |
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| Idioma: | inglês |
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| Origem: | Repositório do Hospital Prof. Doutor Fernando Fonseca |
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