Paradoxes in embolism: management of a young female patient with atrial septal defect after acute myocardial infarction
https://doi.org/10.21886/2712-8156-2022-3-3-97-107
Abstract
The article is devoted to a clinical case of management of a young woman with an aneurysm and two atrial septal defects after the development of acute myocardial infarction. It conveys aspects of differential diagnosis and long-term management.
About the Authors
N. V. Chumachenko
S.V. Ochapovsky Scientific institution — Regional Clinical Hospital №1
Russian Federation
Russian Federation
Natalya V. Chumachenko, Cand. Sci. (Med.), Cardiologist, Cardiology Department no. 3
Krasnodar
N. V. Kijvatova
S.V. Ochapovsky Scientific institution — Regional Clinical Hospital №1;
Kuban State Medical University
Russian Federation
Russian Federation
Nataliya V. Kijvatova, Cand. Sci. (Med.), Cardiologist, Cardiology Department no. 3, Research Institute — Ochapovsky Regional Hospital no. 1, Associate Professor of the Department of Therapy no. 1 of the Faculty of Advanced Training and Professional Retraining of Specialists, Kuban State Medical University
Krasnodar
H. D. Kosmacheva
S.V. Ochapovsky Scientific institution — Regional Clinical Hospital №1;
Kuban State Medical University
Russian Federation
Russian Federation
Helen D. Kosmacheva, Dr. Sci. (Med.), Deputy Chief Physician for Medical Care, S.V. Ochapovsky Scientific institution — Regional Clinical Hospital no. 1, Head of the Department of Therapy no. 1 of the Faculty of Advanced Training and Professional Retraining of Specialists, Kuban State Medical University
Krasnodar
A. N. Pakholkov
S.V. Ochapovsky Scientific institution — Regional Clinical Hospital №1
Russian Federation
Russian Federation
Andrey N. Pakholkov, Surgeon, X-Ray Surgery Department
Krasnodar
A. N. Fedorchenko
S.V. Ochapovsky Scientific institution — Regional Clinical Hospital №1
Russian Federation
Russian Federation
Aleksey N. Fedorchenko, Dr. Sci. (Med.), Head of the X-ray Endovascular Diagnostics and Treatment Department Scientific
Krasnodar
References
1. Egred M, Viswanathan G, Davis GK. Myocardial infarction in young adults. Postgrad Med J. 2005 Dec;81(962):741-5. DOI: 10.1136/pgmj.2004.027532.
2. Olasinska-Wisniewska A, Grygier M. Antithrombotic/Antiplatelet Treatment in Transcatheter Structural Cardiac Interventions-PFO/ASD/LAA Occluder and Interatrial Shunt Devices. Front Cardiovasc Med. 2019 Jun 7;6:75. DOI: 10.3389/fcvm.2019.00075.
3. Rovner A, Valika AA, Kovacs A, Kates AM. Possible paradoxical embolism as a rare cause for an acute myocardial infarction. Echocardiography. 2006 May;23(5):407-9. DOI: 10.1111/j.1540-8175.2006.00228.x.
4. Krishnamoorthy S, Osman F, Nadir A, Creamer J. Acute ST-elevation myocardial infarction secondary to paradoxical embolism. Int J Cardiol. 2008 Jul 21;127(3):406-9. DOI: 10.1016/j.ijcard.2007.04.177.
5. Hakim FA, Kransdorf EP, Abudiab MM, Sweeney JP. Paradoxical coronary artery embolism - a rare cause of myocardial infarction. Heart Views. 2014 Oct-Dec;15(4):124-6. DOI: 10.4103/1995-705X.151089.
6. Kujime S, Hara H, Enomoto Y, Yoshikawa H, Itaya H, Noro M, et al. A case of paradoxical embolic ST-segment elevation myocardial infarction triggered by sleep apnea. Intern Med. 2012;51(14):1851-5. DOI: 10.2169/internalmedicine.51.7069.
7. Baumgartner H, De Backer J, Babu-Narayan SV, Budts W, Chessa M, Diller GP, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. Eur Heart J. 2021 Feb 11;42(6):563-645. DOI: 10.1093/eurheartj/ehaa554.
8. Wilson AM, Ardehali R, Brinton TJ, Yeung AC, Vagelos R. Successful removal of a paradoxical coronary embolus using an aspiration catheter. Nat Clin Pract Cardiovasc Med. 2006 Nov;3(11):633-6. DOI: 10.1038/ncpcardio0681.
9. Singh A, Collins B, Qamar A, Gupta A, Fatima A, Divakaran S, et al. Study of young patients with myocardial infarction: Design and rationale of the YOUNG-MI Registry. Clin Cardiol. 2017 Nov;40(11):955-961. DOI: 10.1002/clc.22774.
10. DeFilippis EM, Singh A, Divakaran S, Gupta A, Collins BL, Biery D, Qamar A, et al. Cocaine and Marijuana Use Among Young Adults With Myocardial Infarction. J Am Coll Cardiol. 2018 Jun 5;71(22):2540-2551. DOI: 10.1016/j.jacc.2018.02.047.
11. Singh A, Collins B, Biery D, Qamar A, Fatima A, Gupta A, et al. Prevalence of revalence of substance abuse among adults with myocardial infarction. J Am Coll Cardiol. 2018 Mar, 71 (11_Supplement) A178. https://doi.org/10.1016/S0735-1097(18)30719-8.
12. Osula S, Bell GM, Hornung RS. Acute myocardial infarction in young adults: causes and management. Postgrad Med J. 2002 Jan;78(915):27-30. doi: 10.1136/pmj.78.915.27.
13. Călin CD, Călin A, Lupu M, Bucşa A, Ginghină C. Acute embolic events--myocardial infarction and stroke, in the presence of an interatrial septal aneurysm. J Med Life. 2011 Aug 15;4(3):302-4. Epub 2011 Aug 25. PMID: 22567057; PMCID: PMC3168822.
14. Kei J, Avilla JK, Cavendish JJ. Rare case of myocardial infarction in a 19-year-old caused by a paradoxical coronary artery embolism. Perm J. 2015 Spring;19(2):e107-9. DOI: 10.7812/TPP/14-186.
15. Meraj-ud Din Shah. A look at atrial septal aneurysm. e-journal of the ESC Council for Cardiology Practice. 2012 Feb;10(17).
16. Belkin RN, Hurwitz BJ, Kisslo J. Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events. Stroke. 1987 Sep-Oct;18(5):856-62. DOI: 10.1161/01.str.18.5.856.
17. Mügge A, Daniel WG, Angermann C, Spes C, Khandheria BK, Kronzon I, et al. Atrial septal aneurysm in adult patients. A multicenter study using transthoracic and transesophageal echocardiography. Circulation. 1995 Jun 1;91(11):2785-92. DOI: 10.1161/01.cir.91.11.2785. PMID: 7758185.
18. Janion-Sadowska A, Sadowski M, Zandecki L, Kurzawski J, Polewczyk A, Janion M. Pregnancy after myocardial infarction and coronary artery bypass grafting - is it safe? Postepy Kardiol Interwencyjnej. 2014;10(1):29-31. DOI: 10.5114/pwki.2014.41464.
19. Sandoval Y, Jaffe AS. Type 2 Myocardial Infarction: JACC Review Topic of the Week. J Am Coll Cardiol. 2019 Apr 16;73(14):1846-1860. DOI: 10.1016/j.jacc.2019.02.018.
20. Bredy C, Mongeon FP, Leduc L, Dore A, Khairy P. Pregnancy in adults with repaired/unrepaired atrial septal defect. J Thorac Dis. 2018 Sep;10(Suppl 24):S2945-S2952. DOI: 10.21037/jtd.2017.10.130.
21. Misra S, Conte J, Resar J. Left Atrial Thrombus Associated With Interatrial Septal Occluder 5 Years After Implantation. Circ Cardiovasc Interv. 2015 Oct;8(10):e002856. DOI: 10.1161/CIRCINTERVENTIONS.115.002856.
Supplementary files
Review
For citations:
Chumachenko N.V., Kijvatova N.V., Kosmacheva H.D., Pakholkov A.N., Fedorchenko A.N. Paradoxes in embolism: management of a young female patient with atrial septal defect after acute myocardial infarction. South Russian Journal of Therapeutic Practice. 2022;3(3):91-96. (In Russ.) https://doi.org/10.21886/2712-8156-2022-3-3-97-107
Views:
947
Email this article 