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. 2012 Jan 30;5(2):e80-e82.
doi: 10.1016/j.jccase.2011.08.007. eCollection 2012 Apr.

A myocardial infarction may disclose patent foramen ovale

Daniela Trabattoni  1 , Tiziana Zaro  2 , Stefano Garducci  2
Affiliations

A myocardial infarction may disclose patent foramen ovale

Daniela Trabattoni et al. J Cardiol Cases. .

Abstract

We report a case of a 19-year-old man presenting with an acute myocardial infarction. Coronary arteries were free from atherosclerotic disease. A patent foramen ovale (PFO) was detected on contrast echocardiography with right-to-left shunting during Valsalva maneuver. No other embolic source was identified. We closed the patient's PFO with a 23-mm PFO occluder. No residual intracardiac shunt was found on contrast transthoracic echocardiography at 1-year follow-up and no recurrent paradoxical embolization occurred.

Keywords: Acute myocardial infarction; Coronary embolization; Patent foramen ovale.

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Figures

Figure 1
Figure 1
(a) (top) acute LAD occlusion and electrocardiogram at presentation; (bottom) intravascular ultrasound image showing thrombus adherence to the intracoronary catheter. (b) LAD post primary percutaneous coronary intervention and electrocardiogram at discharge. LAD, left anterior descending artery.
Figure 2
Figure 2
(a) Patent foramen ovale (PFO) at intracardiac echocardiogram (ICE) evaluation. (b) ICE post PFO closure and device image. LA, left atrium; RA, right atrium.
See this image and copyright information in PMC

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