Nature clinical practice. Cardiovascular medicine · 2006
Successful removal of a paradoxical coronary embolus using an aspiration catheter.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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История · было → стало
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Wilson Andrew M, Ardehali Reza, Brinton Todd J, Yeung Alan C, Vagelos Randall
Аннотация
BACKGROUND: A 28-year-old man presented at hospital with persistent pain in his chest and left arm, a paced rhythm on electrocardiography and elevated levels of cardiac enzymes. He was known to have patent foramen ovale and a dual-chamber pacemaker, which had been implanted following electrophysiological ablation to treat supraventricular tachycardia 3 years previously. The patient did not have a history of cardiovascular risk factors, recent travel, immobilization or clinical features of infection, and he was not taking any medication.
INVESTIGATIONS: Electrocardiography, cardiac enzyme studies, coronary angiography and transthoracic echocardiography.
DIAGNOSIS: Acute myocardial infarction, paradoxical coronary embolus and patent foramen ovale.
MANAGEMENT: Coronary aspiration embolectomy and systemic anticoagulation.
INVESTIGATIONS: Electrocardiography, cardiac enzyme studies, coronary angiography and transthoracic echocardiography.
DIAGNOSIS: Acute myocardial infarction, paradoxical coronary embolus and patent foramen ovale.
MANAGEMENT: Coronary aspiration embolectomy and systemic anticoagulation.