Author/Authors :
Uysal, Onur Kadir Adana Numune Education and Research Hospital - Clinic of Cardiology, Turkey , Şahin, Durmuş Yıldıray Adana Numune Training and Research Hospital - Department of Cardiology, Turkey , Özkan, Buğra Adana Numune Training and Research Hospital - Department of Cardiology, Turkey , Özkan, Buğra Adana Numune Training and Research Hospital - Department of Cardiology, Turkey , Koç, Mevlüt Adana Numune Training and Research Hospital - Department of Cardiology, Turkey , Zincirli, Mehmet Necati Adana Numune Education and Research Hospital - Clinic of Cardiology, Turkey , Çaylı, Murat Adana Numune Training and Research Hospital - Department of Cardiology, Turkey
Abstract :
A very low pressure gradient between the atria and certain anatomic features of the patent foramen ovale (PFO) may lead to stasis. In addition, a procoagulant environment exists within the PFO tunnel. Owing to these factors, thrombus may occur in the PFO. The 84-year-old female patient presented to our clinic with retrosternal chest pain. She had normal hemodynamic parameters. She was urgently transferred to the coronary intensive care unit, considering anterior myocardial infarction upon observing 2 mm ST segment elevation in anterior leads (Fig. 1). She was transferred to the catheterization laboratory for primary percutaneous coronary intervention (PPCI). After the necessary medical preparations, successful PPCI was performed at the mid portion of left anterior descending artery. The transthoracic echocardiography performed on the 3rd day of admission, revealed normal size cardiac cavities and hypokinesia of the apical and anterior walls.
