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  • Title: Paradoxical embolism due to open foramen ovale with atrial septal aneurysm as a cause of myocardial infarction in a young male.
    Author: Dijkmans PA, Visser CA, Kamp O.
    Journal: Int J Cardiovasc Imaging; 2005 Dec; 21(6):629-32. PubMed ID: 16322922.
    Abstract:
    Paradoxical embolism is a rare cause of myocardial infarction. We present a case of a young man who was admitted to our hospital with an inferior myocardial infarction. Coronary arteriography showed a total distal occlusion of a posterolateral branch of the circumflex artery. Contrast-enhanced echocardiography showed a large atrial septal aneurysm with a patent foramen ovale and massive right-to-left shunting. No other sources of cardiac embolism could be identified. In this case, paradoxical embolism probably has resulted in myocardial infarction.
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