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Myocardial infarction due to paradoxical embolism in a patient with large atrial septal defect

Cuculi, F.; Togni, M.; Meier, B.

Journal of Invasive Cardiology 21(10): E184-E186

2009

ISSN/ISBN: 1557-2501
PMID: 19805848
Document Number: 628360
We present the case of a patient who presented with acute inferior myocardial infarction and embolic occlusion of the distal left anterior descending and proximal right coronary artery. A large atrial septal defect (ASD) was seen on transesophageal echocardiography and the ASD was closed during the same session as coronary angiography and percutaneous coronary intervention. The presence of embolic or thrombotic occlusions of coronary arteries should prompt interventional cardiologists to look for a patent foramen ovale or ASD and perform percutaneous closure right away.

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