IMR Press / RCM / Volume 4 / Issue 2 / pii/1561439334219-755055105

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Paradoxical Coronary Embolism: A Rare Cause of Acute Myocardial Infarction
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1 Boston Medical Center, Boston, MA
Rev. Cardiovasc. Med. 2003, 4(2), 107–111;
Published: 30 June 2003
Since it was first described in 1877, paradoxical embolism has become widely accepted as an etiology of stroke and peripheral vascular thrombotic occlusion. Less common are paradoxical emboli to the coronary artery. On the basis of limited pathologic and clinical series, it appears that paradoxical coronary emboli account for 5%–10% of all paradoxical emboli. Paradoxical coronary emboli have been described in all age groups, from neonates to the elderly, reflecting a wide spectrum of cardiac structural abnormality and clinical circumstance. Strategies for management should focus on treatment of acute coronary occlusion as well as prevention of future emboli.
Acute myocardial infarction
Paradoxical coronary embolism
Patent foramen ovale
Atrial septal defect
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