Ovarian Mass Causing Paradoxical MI and Leg Ischaemia
Joint Authors
Griffin, K. J.
Barker, L.
Bailey, M. A.
Nicholson, T.
Scott, D. J. A.
Greenwood, J. P.
Source
Case Reports in Vascular Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Paradoxical embolus through a patent foramen ovale is a well-reported phenomenon.
Clinical consequences include stroke, intestinal infarction, lower limb ischaemia, and even acute myocardial infarction (MI), via embolisation to the coronary arteries.
We present a case of acute MI, cardiogenic shock, and cardiac arrest caused not by this mechanism, but by embolisation of thrombotic material to the aortic root with transient complete occlusion of the left main stem (LMS) coronary artery.
During percutaneous coronary intervention to treat this occlusion the thrombus became lodged at the aortic bifurcation causing lower limb ischaemia.
Despite successful treatment of this via bilateral groin exploration and thromboembolectomy the patient became increasingly acidotic and an abdominal and pelvic CT scan was performed.
This revealed the source of the thrombus to be the patient’s congested and compressed pelvic veins which were the result of a large, previously undiagnosed ovarian malignancy with metastatic spread.
Although very unusual we feel this case highlights an important differential in the diagnosis of anterolateral MI and images similar to those presented here are previously unreported in the literature.
American Psychological Association (APA)
Griffin, K. J.& Bailey, M. A.& Greenwood, J. P.& Barker, L.& Nicholson, T.& Scott, D. J. A.. 2012. Ovarian Mass Causing Paradoxical MI and Leg Ischaemia. Case Reports in Vascular Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-491737
Modern Language Association (MLA)
Griffin, K. J.…[et al.]. Ovarian Mass Causing Paradoxical MI and Leg Ischaemia. Case Reports in Vascular Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-491737
American Medical Association (AMA)
Griffin, K. J.& Bailey, M. A.& Greenwood, J. P.& Barker, L.& Nicholson, T.& Scott, D. J. A.. Ovarian Mass Causing Paradoxical MI and Leg Ischaemia. Case Reports in Vascular Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-491737
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-491737