{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T07:04:19Z","timestamp":1776755059740,"version":"3.51.2"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,4,11]]},"abstract":"<jats:p>Cerebrovascular accidents constitute the most frequent clinical manifestation of paradoxical embolism. However, it is becoming increasingly recognised that acute myocardial infarction is also an important and potentially life-threatening clinical manifestation of paradoxical embolism. Various intracardiac or pulmonary shunts can provide a convenient conduit for an embolus to traverse from the venous vasculature into the systemic circulation with potentially devastating consequences. We present the case of a 23-year-old woman presenting with chest pain and ST-segment elevation myocardial infarction who ultimately was found to have a sinus venosus atrial septal defect associated with both partial anomalous pulmonary venous drainage and a persistent left superior vena cava.<\/jats:p>","DOI":"10.1136\/bcr-2016-215184","type":"journal-article","created":{"date-parts":[[2016,4,29]],"date-time":"2016-04-29T10:29:27Z","timestamp":1461925767000},"page":"bcr2016215184","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Paradoxical embolism via a sinus venosus atrial septal defect causing an inferior ST-segment elevation myocardial infarction in a 23-year-old woman"],"prefix":"10.1136","volume":"2016","author":[{"given":"Crochan John","family":"O'Sullivan","sequence":"first","affiliation":[{"name":"Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Getulio Andras","family":"Magarzo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain Marcel","family":"Bernheim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Robert Eberli","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,4,29]]},"reference":[{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-012-0226-3"},{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.592055"},{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62145-5"},{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.4","unstructured":"Otto C . Textbook of clinical echocardiography. 4th Edn. Saunders Elsevier, 2009:437."},{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.063"},{"key":"2025082803343150000_2016.apr29_1.bcr2016215184.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.015134"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:34:37Z","timestamp":1756377277000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,29]]},"references-count":6,"alternative-id":["10.1136\/bcr-2016-215184"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215184","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,29]]}}}