Acute Embolic Events in a Patient with an Interatrial Septal Aneurysm
Author Information
Author(s): Calin CD, Lupu M, Bucsa A, Ginghina C
Primary Institution: ‘Prof. Dr. C. C. Iliescu’ Emergency Institute of Cardiovascular Diseases
Hypothesis
Can paradoxical embolism explain acute myocardial infarction and stroke in a patient with an interatrial septal aneurysm and normal coronary arteries?
Conclusion
The presence of an interatrial septal aneurysm may lead to paradoxical embolism, causing acute ischemic events despite normal coronary arteries.
Supporting Evidence
- The patient had a history of myocardial infarction and stroke with no atherosclerotic lesions found.
- Transthoracic echocardiography revealed an interatrial septal aneurysm and shunt.
- Paradoxical embolism is a recognized mechanism for ischemic events in patients with interatrial septal defects.
Takeaway
A 52-year-old man had a heart attack and stroke, but doctors found no clogged arteries; instead, a hole in his heart might have caused the problem.
Methodology
Case report detailing patient history, diagnostic tests, and potential treatment options.
Limitations
Only one case is presented, limiting generalizability.
Participant Demographics
One 52-year-old male patient with cardiovascular risk factors.
Want to read the original?
Access the complete publication on the publisher's website