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Acute myocardial infarction with concomitant pulmonary embolism as a result of patent foramen ovale

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Date
2015-07-01T00:00:00Z
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Hayiroglu, Mert Ilker
Bozbeyoglu, Emrah
Akyuz, Sukru
Yildirimturk, Ozlem
Bozbay, Mehmet
Bakhshaliyev, NIJAD
Renda, Emir
Gok, Gulay
Eren, Mehmet
Pehlivanoglu, Seckin
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Abstract
Acute myocardial infarction (MI) and pulmonary embolism can alone lead to life-threatening conditions such as sudden cardiac death and congestive heart failure. We discuss a case of a 74-year-old man presented to the emergency department with acute dyspnea and chest pain. Acute anterior MI and pulmonary embolism concomitantly were diagnosed. Primary percutaneous coronary intervention performed because of preliminary acute anterior MI diagnosis. Transthoracic echocardiography was performed to determine further complications caused by acute MI because patient had a continuous tachycardia and dyspnea although hemodynamically stable. Transthoracic echocardiography revealed a thrombus that was stuck into the patent foramen ovale with parts in right and left atria. Anticoagulation therapy was started; neither fibrinolytic therapy nor operation was performed because of low survey expectations of the patient-s recently diagnosed primary disease stage IV lung cancer. Patient was discharged on his 20th day with oral anticoagulation and antiagregant therapy.
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Hayiroglu M. I. , Bozbeyoglu E., Akyuz S., Yildirimturk O., Bozbay M., Bakhshaliyev N., Renda E., Gok G., Eren M., Pehlivanoglu S., -Acute myocardial infarction with concomitant pulmonary embolism as a result of patent foramen ovale-, AMERICAN JOURNAL OF EMERGENCY MEDICINE, cilt.33, 2015
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