Embolia paradoxal: Oclusão arterial aguda e infarto agudo do miocárdio

Abstract

Paradoxical embolism commonly occurs through the passage of an embolus in the patent foramen oval during adult life, usually not previously diagnosed, being preceded by pulmonary thromboembolism and usually manifesting as a stroke. It is an uncommon condition, and even rarer when it presents as an acute arterial occlusion, as reported in this paper.               In 2021, we received a 54-year-old woman at the Hospital de Clínicas de São Bernardo do Campo, victim of recent car trauma, with acute myocardial infarction, acute arterial occlusion Rutherford IIB in the lower right limb and Rutherford I in the lower left limb, venous thrombosis deep popliteal-distal right lower limb and presumed pulmonary thromboembolism. Therapy and clinical management included thromboembolectomy, full anticoagulation and dual antiplatelet therapy, as well as joint follow-up with the vascular surgery, cardiology and cardiac surgery teams.