Paradoxical Embolism Due to Open Foramen Ovale with Atrial Septal Aneurysm as a Cause of Myocardial Infarction in a Young Male

  • Pieter A. Dijkmans
  • Cees A Visser
  • Otto Kamp


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.


atrial septal aneurysm myocardial infarction paradoxical embolization 


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Copyright information

© Springer 2005

Authors and Affiliations

  • Pieter A. Dijkmans
    • 1
  • Cees A Visser
    • 1
  • Otto Kamp
    • 1
  1. 1.VU University Medical CenterAmsterdamThe Netherlands

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