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Case Reports
. 2012 Jul;13(3):111-3.
doi: 10.4103/1995-705X.102156.

Paradoxical embolism in acute myocardial infarction in a patient with congenital heart disease

Abdelrahman Jamiel  1 , Ahmed Alsaileek, Kamal Ayoub, Ahmad Omran
Affiliations
Case Reports

Paradoxical embolism in acute myocardial infarction in a patient with congenital heart disease

Abdelrahman Jamiel et al. Heart Views. 2012 Jul.

Abstract

We present a case of a young male with severe pulmonary stenosis, hypoplastic right ventricle, and atrial septal defect. Acute embolic myocardial infarction, followed by cardiac arrest, occurred during hospitalization after Glenn operation. The therapeutic challenges are discussed. Insufficient anticoagulation therapy during the postoperative period was a possible contributing factor leading to embolic myocardial infarction.

Keywords: Congenital; embolism; myocardial infarction; paradoxical.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) A baseline electrocardiogram that showed sinus rhythm and right bundle branch block, (b) electrocardiogram immediately after cardiac arrest showed ST segment elevation in the inferior leads and multiple premature atrial beats
Figure 2
Figure 2
An echocardiography that demonstrated atrial septal defect (upper), right to left shunt (arrow) and small severely hypertrophied right ventricle (lower)
Figure 3
Figure 3
(a) Invasive coronary angiography that demonstrated total occlusion of the left circumflex coronary artery with filling defect suggestive of thrombus, (b) the TIMI 3 flow was restored after repeated aspirations of the thrombus
Figure 4
Figure 4
(a), An echocardiography that demonstrated atrial septal defect with right to left shunt, (b) three dimensional echocardiography during device deployment (c and d) echocardiography few days after device deployment where atrial septal device was in place with no residual shunt
See this image and copyright information in PMC

References

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