Acute right ventricular failure caused by concomitant coronary and pulmonary embolism: successful treatment with endovascular coronary and pulmonary thrombectomy.
Smith, Gustav LU ; Koul, Sasha LU ; Roijer, Anders LU ; Holmqvist, Jasminka ; Keussen, Inger LU ; Cwikiel, Wojciech LU ; Öhlin, Bertil LU and Erlinge, David LU
(2013)
In European Heart Journal: Acute Cardiovascular Care
2(2).
p.131-136
- Abstract
- Patent foramen ovale (PFO) is present in approximately 25% of the general population. PFO is characterized by intermittent shunting of blood from the right to the left atrium, especially in the context of increased right-sided filling pressures, with risk of paradoxical embolism. We describe a 69-year-old woman presenting with acute chest pain, severe dyspnoea, and acute inferolateral ST-segment elevation on the electrocardiogram. The patient was diagnosed with myocardial infarction and failure of the right cardiac ventricle, which was considered to be secondary to extensive pulmonary embolism leading to increased filling pressures and paradoxical coronary embolism. The patient underwent emergent percutaneous interventions with coronary... (More)
- Patent foramen ovale (PFO) is present in approximately 25% of the general population. PFO is characterized by intermittent shunting of blood from the right to the left atrium, especially in the context of increased right-sided filling pressures, with risk of paradoxical embolism. We describe a 69-year-old woman presenting with acute chest pain, severe dyspnoea, and acute inferolateral ST-segment elevation on the electrocardiogram. The patient was diagnosed with myocardial infarction and failure of the right cardiac ventricle, which was considered to be secondary to extensive pulmonary embolism leading to increased filling pressures and paradoxical coronary embolism. The patient underwent emergent percutaneous interventions with coronary thrombus extraction and pulmonary thrombus fragmentation and local thrombolysis. The patient was free of symptoms at follow up 6 months later and echocardiography showed substantially improved right ventricular function. We discuss issues related to the diagnosis, treatment, and secondary prevention for patients with concomitant pulmonary and coronary arterial thrombosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4179468
- author
- Smith, Gustav
LU
; Koul, Sasha
LU
; Roijer, Anders
LU
; Holmqvist, Jasminka
; Keussen, Inger
LU
; Cwikiel, Wojciech
LU
; Öhlin, Bertil
LU
and Erlinge, David
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Heart Journal: Acute Cardiovascular Care
- volume
- 2
- issue
- 2
- pages
- 131 - 136
- publisher
- Oxford University Press
- external identifiers
-
- pmid:24222822
- scopus:84901444337
- pmid:24222822
- ISSN
- 2048-8734
- DOI
- 10.1177/2048872613486336
- language
- English
- LU publication?
- yes
- id
- 163f3dbc-a212-4045-9047-47e0acb438ff (old id 4179468)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24222822?dopt=Abstract
- date added to LUP
- 2016-04-01 14:24:21
- date last changed
- 2022-04-06 18:28:39
@article{163f3dbc-a212-4045-9047-47e0acb438ff,
abstract = {{Patent foramen ovale (PFO) is present in approximately 25% of the general population. PFO is characterized by intermittent shunting of blood from the right to the left atrium, especially in the context of increased right-sided filling pressures, with risk of paradoxical embolism. We describe a 69-year-old woman presenting with acute chest pain, severe dyspnoea, and acute inferolateral ST-segment elevation on the electrocardiogram. The patient was diagnosed with myocardial infarction and failure of the right cardiac ventricle, which was considered to be secondary to extensive pulmonary embolism leading to increased filling pressures and paradoxical coronary embolism. The patient underwent emergent percutaneous interventions with coronary thrombus extraction and pulmonary thrombus fragmentation and local thrombolysis. The patient was free of symptoms at follow up 6 months later and echocardiography showed substantially improved right ventricular function. We discuss issues related to the diagnosis, treatment, and secondary prevention for patients with concomitant pulmonary and coronary arterial thrombosis.}},
author = {{Smith, Gustav and Koul, Sasha and Roijer, Anders and Holmqvist, Jasminka and Keussen, Inger and Cwikiel, Wojciech and Öhlin, Bertil and Erlinge, David}},
issn = {{2048-8734}},
language = {{eng}},
number = {{2}},
pages = {{131--136}},
publisher = {{Oxford University Press}},
series = {{European Heart Journal: Acute Cardiovascular Care}},
title = {{Acute right ventricular failure caused by concomitant coronary and pulmonary embolism: successful treatment with endovascular coronary and pulmonary thrombectomy.}},
url = {{http://dx.doi.org/10.1177/2048872613486336}},
doi = {{10.1177/2048872613486336}},
volume = {{2}},
year = {{2013}},
}