Pulmonary embolism with paradoxical embolization to right coronary artery in the presence of a large patent foramen ovale: a case report

Abstract Background Pulmonary embolism (PE) is the leading cause of in-hospital death and the third most frequent cause of cardiovascular death. The clinical presentation of PE is variable, and choosing the appropriate treatment for individual patients can be challenging. Case summary A 64-year-old...

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Bibliographic Details
Published in:European heart journal : case reports 2024-04, Vol.8 (4), p.ytae133
Main Authors: Boberg, Erik, Hedman, Anders, Hollenberg, Jacob
Format: Article
Language:English
Subjects:
Analysis
Blood gases
Cardiac patients
Clopidogrel
Electrocardiogram
Electrocardiography
Fibrin
Heart attack
Pulmonary embolism
Thromboembolism
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Summary:Abstract Background Pulmonary embolism (PE) is the leading cause of in-hospital death and the third most frequent cause of cardiovascular death. The clinical presentation of PE is variable, and choosing the appropriate treatment for individual patients can be challenging. Case summary A 64-year-old man presented to hospital with acute chest pain, shortness of breath, and pulmonary oedema. Electrocardiogram revealed ST-elevation myocardial infarction. D-dimer was 18.8 mg/L fibrinogen equivalent units (FEU) (normal
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytae133