[Myocardial infarction with normal coronary arteries: role of transesophageal echocardiography].
We report the case of 74 years-old female patient hospitalized for a ST+ acute coronary syndrome with normal coronary angiography. The association of a patent foramen ovale, a deep venous thrombosis and a pulmonary embolism led us to conclude the diagnosis of paradoxical coronary embolism. This case allows us to remind different etiologies to be considered in case of myocardial infarction with normal coronary arteries, and the interest of transesophageal echocardiography for the diagnosis of its etiology.
Vannesson
C
C
Service d'urgences et soins intensifs cardiologiques.
Ennezat
P V
PV
Aubert
J M
JM
Darchis
J
J
Auffray
J L
JL
Bauchart
J J
JJ
Lesenne
M
M
Sudre
A
A
Goldstein
P
P
Asseman
P
P
D000368:Aged; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging*; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging