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Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report

RATIONALE: The differential diagnosis of acute chest pain is very important, and can sometimes be challenging. Related diseases share a number of risk factors, and occasionally, 1 condition causes another disease to develop. PATIENT CONCERNS: We described a 59-year-old man who presented to emergency...

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Autores principales: Chen, Zhongxiu, Li, Chen, Li, Yajiao, Tang, Hong, Rao, Li, Wang, Mian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392996/
https://www.ncbi.nlm.nih.gov/pubmed/29384941
http://dx.doi.org/10.1097/MD.0000000000009480
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author Chen, Zhongxiu
Li, Chen
Li, Yajiao
Tang, Hong
Rao, Li
Wang, Mian
author_facet Chen, Zhongxiu
Li, Chen
Li, Yajiao
Tang, Hong
Rao, Li
Wang, Mian
author_sort Chen, Zhongxiu
collection PubMed
description RATIONALE: The differential diagnosis of acute chest pain is very important, and can sometimes be challenging. Related diseases share a number of risk factors, and occasionally, 1 condition causes another disease to develop. PATIENT CONCERNS: We described a 59-year-old man who presented to emergency department complaining of chest pain. DIAGNOSES: He was suffered acute myocardial infarction (MI) and pulmonary embolism (PE) simultaneously. INTERVENTIONS: Dual antiplatelet therapy, statin, and low molecular weight heparin were administrated during his stay. The searches for cancers, autoimmune diseases, and hematologic diseases were unremarkable, ruling out a hypercoagulable state. Subsequent ultrasound scan revealed a thrombus in a vein of the lower left extremity. Thus, paradoxical embolism was highly suspected. OUTCOMES: Paradoxical embolism is a rare cause of acute MI, which may have occurred in our patient. This was evidenced by a previously unrecognized patent foramen ovale (PFO) with a right-to-left atrial shunt detected using contrast transesophageal echocardiography. LESSONS: Acute MI complicated with PE is not common in the clinical setting. The fatal condition is difficult to diagnose because of the similar symptoms and confusing causes. Paradoxical embolism can cause this phenomenon, and physicians should be highly vigilant in the search for a PFO in cases of paradoxical embolism.
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spelling pubmed-63929962019-03-15 Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report Chen, Zhongxiu Li, Chen Li, Yajiao Tang, Hong Rao, Li Wang, Mian Medicine (Baltimore) Research Article RATIONALE: The differential diagnosis of acute chest pain is very important, and can sometimes be challenging. Related diseases share a number of risk factors, and occasionally, 1 condition causes another disease to develop. PATIENT CONCERNS: We described a 59-year-old man who presented to emergency department complaining of chest pain. DIAGNOSES: He was suffered acute myocardial infarction (MI) and pulmonary embolism (PE) simultaneously. INTERVENTIONS: Dual antiplatelet therapy, statin, and low molecular weight heparin were administrated during his stay. The searches for cancers, autoimmune diseases, and hematologic diseases were unremarkable, ruling out a hypercoagulable state. Subsequent ultrasound scan revealed a thrombus in a vein of the lower left extremity. Thus, paradoxical embolism was highly suspected. OUTCOMES: Paradoxical embolism is a rare cause of acute MI, which may have occurred in our patient. This was evidenced by a previously unrecognized patent foramen ovale (PFO) with a right-to-left atrial shunt detected using contrast transesophageal echocardiography. LESSONS: Acute MI complicated with PE is not common in the clinical setting. The fatal condition is difficult to diagnose because of the similar symptoms and confusing causes. Paradoxical embolism can cause this phenomenon, and physicians should be highly vigilant in the search for a PFO in cases of paradoxical embolism. Wolters Kluwer Health 2017-12-29 /pmc/articles/PMC6392996/ /pubmed/29384941 http://dx.doi.org/10.1097/MD.0000000000009480 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle Research Article
Chen, Zhongxiu
Li, Chen
Li, Yajiao
Tang, Hong
Rao, Li
Wang, Mian
Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title_full Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title_fullStr Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title_full_unstemmed Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title_short Concomitant coronary and pulmonary embolism associated with patent foramen ovale: A case report
title_sort concomitant coronary and pulmonary embolism associated with patent foramen ovale: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392996/
https://www.ncbi.nlm.nih.gov/pubmed/29384941
http://dx.doi.org/10.1097/MD.0000000000009480
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