title: Paradoxical embolism due to open foramen ovale with atrial septal aneurysm as a cause of myocardial infarction in a young male.
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.
authors.affiliation: VU University Medical Center, De Boelelaan, 1117, 1081 HV, Amsterdam, The Netherlands. pa.dijkmans@vumc.nl
authors.forename: Pieter A
authors.initials: PA
authors.lastname: Dijkmans
authors.forename: Cees A
authors.initials: CA
authors.lastname: Visser
authors.forename: Otto
authors.initials: O
authors.lastname: Kamp
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D019320:Embolism, Paradoxical / Q000150:complications* / Q000175:diagnosis; D006322:Heart Aneurysm / Q000150:complications*; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D014463:Ultrasonography