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Case reports
Paradoxical embolism causing fatal myocardial infarction in a newborn infant
  1. A Tilletta,
  2. B Hartleyb,
  3. J Simpsona
  1. aDepartment of Congenital Heart Disease, Guy's and St Thomas' Hospital Trust, London, UK, bDepartment of Histopathology, St James' University Hospital, Beckett Street, Leeds, UK
  1. Dr Simpson, Department of Congenital Heart Disease, 11th Floor, Guy's Hospital, London SE1 9RT, UKJohn.Simpson{at}gstt.sthames.nhs.uk

Abstract

A neonate who presented with circulatory collapse was found to have myocardial infarction caused by thrombotic occlusion of the left main coronary artery. At autopsy, a thrombus was found in the ductus venosus making paradoxical embolism through the foramen ovale the most likely mechanism of coronary occlusion.

  • myocardial infarction
  • coronary artery
  • thrombosis

https://doi.org/10.1136/fn.85.2.F137

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