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- Title
Successful surgical treatment of impending paradoxical embolism with pulmonary embolism and myocardial infarction.
- Authors
Liu, Yong; Yang, Zhiyun; Sun, Xinxin; Yang, Mei; Zhang, Tao; Li, Ruilin; Wei, Ying; Cao, Hao
- Abstract
Background: Paradoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. Case presentation: We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation. Swiftly addressed through emergency cardiac surgery and systemic anticoagulation, the patient's condition was effectively treated. Conclusions: While the ideal treatment strategy for impending paradoxical embolism remains a topic of debate due to limited and inconclusive evidence, emergent open surgery should be contemplated in patients as it signifies a critical clinical emergency.
- Subjects
PARADOXICAL embolism; PULMONARY embolism; PATENT foramen ovale; ATRIAL septal defects; ST elevation myocardial infarction; MYOCARDIAL infarction; GAS embolism
- Publication
Journal of Cardiothoracic Surgery, 2024, Vol 19, Issue 1, p1
- ISSN
1749-8090
- Publication type
Case Study
- DOI
10.1186/s13019-024-02606-0