{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:52Z","timestamp":1756425832027,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,6]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Paradoxical coronary artery embolism is often an underdiagnosed cause of acute myocardial infarction (MI). It should always be considered in patient with acute MI and a low risk profile for atherosclerotic coronary artery disease. We describe a patient with simultaneous acute saddle pulmonary embolism (PE) and acute ST segment elevation MI due to paradoxical coronary artery embolism. Transoesophageal echocardiography demonstrated a patent foramen ovale with right to left shunt and large saddle PE in the main pulmonary artery and coronary angiography demonstrated acute thrombotic occlusion of the right coronary artery.<\/jats:p>","DOI":"10.1136\/bcr-2020-240312","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T12:56:48Z","timestamp":1619009808000},"page":"e240312","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Peripheral thrombosis causing simultaneous saddle pulmonary embolism and paradoxical ST elevation myocardial infarction resulting in cardiovascular collapse"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9675-2407","authenticated-orcid":false,"given":"Hafiz","family":"Ghafoor","sequence":"first","affiliation":[{"name":"Department of Cardiology, St Vincent Hospital, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6766-4501","authenticated-orcid":false,"given":"Nitish Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Vincent Hospital, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeba","family":"Hashmath","sequence":"additional","affiliation":[{"name":"Department of Medicine, St Vincent Hospital, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddison","family":"Ramsaran","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Vincent Hospital, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,21]]},"reference":[{"key":"2025082803533850000_14.4.e240312.1","first-page":"33","article-title":"[Myocardial infarct in a young man with angiographically normal coronary arteries and atrial septal defect]","volume":"53","author":"Velebit","year":"1999","journal-title":"Med Arh"},{"key":"2025082803533850000_14.4.e240312.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.19.1946"},{"key":"2025082803533850000_14.4.e240312.3","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-88-2-155"},{"key":"2025082803533850000_14.4.e240312.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.08.057"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240312","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:53:49Z","timestamp":1756378429000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240312"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,4,21]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/bcr-2020-240312"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240312","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}