Paradoxical Thromboembolism/ST-Elevation Myocardial Infarction via a Patent Foramen Ovale in Sub-Massive Pulmonary Embolism Following an Upper Extremity Deep Venous Thrombosis: Is It Time for a Change in the Standard of Care?

Autor: Tukaye DN; Division of Cardiology, The Ohio State University, Columbus, OH 43210, USA., Cavallazzi RS; Division of Medicine Pulmonary Critical Care, University of Louisville, Louisville, KY 40202, USA.
Jazyk: angličtina
Zdroj: Cardiology research [Cardiol Res] 2014 Aug; Vol. 5 (3-4), pp. 112-117. Date of Electronic Publication: 2014 Jul 20.
DOI: 10.14740/cr335w
Abstrakt: The objective of this case study is to discuss a rare case of proven paradoxical thromboembolism captured in-transit. A 23-year-old female with a diagnosis of right internal jugular deep vein thrombus who developed acute onset chest pain, dyspnea and hypotension, was selected for the study. Sub-massive PE and STEMI were diagnosed. Transthoracic echocardiogram revealed a left ventricular (LV) mass moving across the aortic valve. Soon after, the patient developed numbness of right extremities with non-palpable pulses. A transesophageal echocardiogram revealed absent LV mass, PFO, left atrial mass entering through the PFO and emboli in bilateral pulmonary arteries. We report a case of sub-massive PE and paradoxical proven coronary and upper extremity embolism, captured in-transit, following destabilization of an UEDVT in a patient with PFO.
Databáze: MEDLINE