Acute myocardial infarction caused by paradoxical embolism with concomitant pulmonary embolism.


An 86-year-old lady presented with an acute inferior ST elevation myocardial infarction. The coronary angiogram showed a thrombotic occlusion of the right coronary artery, which was aspirated, but there was no underlying lesion to stent. The patient remained very hypoxic on the ward with clear lung fields and was found to also have multiple pulmonary emboli… (More)
DOI: 10.1136/bcr.03.2011.3953


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