Work

Paradoxical Coronary Embolism as a Cause of Recurrent Myocardial Infarction: A Case Report

Year: 2026

Type: article

Abstract: INTRODUCTION: Paradoxical coronary embolism is a rare cause of myocardial infarction. CASE REPORT: A 57-year-old man presented with acute chest pain after a recent non-ST elevation myocardial infarction, during which a patent foramen ovale was identified. On readmission, the electrocardiogram showed an inferior ST-elevation myocardial infarction, and angiography revealed a distal thrombotic occlusion in otherwise normal coronary arteries. No venous thromboembolism was found, but thrombophilia testing revealed heterozygous factor V Leiden. He was managed conservatively and underwent successful patent foramen ovale closure. CONCLUSION: This case highlights paradoxical embolism as a diagnostic consideration in acute myocardial infarction without coronary artery disease.

Source: Clinical Practice and Cases in Emergency Medicine

DOI: 10.5811/cpcem.52911

Author: Dago Berckmans

Institution: AZ Sint-Maarten

Language: English

Topic: Cardiovascular and Diving-Related Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $500