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A patent foramen ovale facilitated fatal paradoxical embolism from trauma-induced venous thrombosis, causing left coronary artery occlusion and STEMI in a 34-year-old soccer player.
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Highlights a rare case of paradoxical embolism causing STEMI and cardiogenic shock via a patent foramen ovale following trauma-induced venous thrombosis.
A 34-year-old male patient was referred for primary percutaneous coronary intervention for ST-segment elevation myocardial infarction with cardiogenic shock and was found to have embolic left coronary artery occlusion and subsegmental pulmonary artery emboli as a consequence of venous thrombosis to trauma to the thigh in the presence of a patent foramen ovale.
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Pilgrim et al. (2013) studied this question. A patent foramen ovale facilitated fatal paradoxical embolism from trauma-induced venous thrombosis, causing left coronary artery occlusion and STEMI in a 34-year-old soccer player.
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