title: Successful removal of a paradoxical coronary embolus using an aspiration catheter.
abstract: BACKGROUND
  A 28-year-old man presented at hospital with persistent pain in his chest and left arm, a paced rhythm on electrocardiography and elevated levels of cardiac enzymes. He was known to have patent foramen ovale and a dual-chamber pacemaker, which had been implanted following electrophysiological ablation to treat supraventricular tachycardia 3 years previously. The patient did not have a history of cardiovascular risk factors, recent travel, immobilization or clinical features of infection, and he was not taking any medication.
  
  
  METHODS
  Electrocardiography, cardiac enzyme studies, coronary angiography and transthoracic echocardiography.
  
  
  METHODS
  Acute myocardial infarction, paradoxical coronary embolus and patent foramen ovale.
  
  
  RESULTS
  Coronary aspiration embolectomy and systemic anticoagulation.
authors.affiliation: Interventional Cardiology, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA. awilson@cvmed.stanford.edu
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Wilson
authors.forename: Reza
authors.initials: R
authors.lastname: Ardehali
authors.forename: Todd J
authors.initials: TJ
authors.lastname: Brinton
authors.forename: Alan C
authors.initials: AC
authors.lastname: Yeung
authors.forename: Randall
authors.initials: R
authors.lastname: Vagelos
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D017128:Embolectomy / Q000379:methods*; D019320:Embolism, Paradoxical / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D006344:Heart Septal Defects, Atrial / Q000150:complications; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D010138:Pacemaker, Artificial / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants