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{
    "pk": 52911,
    "title": "Paradoxical Coronary Embolism as a Cause of Recurrent Myocardial Infarction: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Paradoxical coronary embolism is a rare cause of myocardial infarction.</p>\n<p><strong>Case Report: </strong>A 57-year-old man presented with acute chest pain after a recent non-ST elevation myocardial infarction, during which a patent foramen ovale was identified. On readmission, the electrocardiogram showed an inferior ST-elevation myocardial infarction, and angiography revealed a distal thrombotic occlusion in otherwise normal coronary arteries. No venous thromboembolism was found, but thrombophilia testing revealed heterozygous factor V Leiden. He was managed conservatively and underwent successful patent foramen ovale closure.</p>\n<p><strong>Conclusion</strong>: This case highlights paradoxical embolism as a diagnostic consideration in acute myocardial infarction without coronary artery disease.</p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><!--EndFragment--></p>\n<p><!--EndFragment--></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Paradoxical Embolism"
        },
        {
            "word": "coronary embolism"
        },
        {
            "word": "myocardial infarction"
        },
        {
            "word": "patent foramen ovale"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/51n9m25c",
    "frozenauthors": [
        {
            "first_name": "Dago",
            "middle_name": "",
            "last_name": "Berckmans",
            "name_suffix": "",
            "institution": "AZ Sint-Maarten, Department of Emergency Medicine, Mechelen, Belgium",
            "department": ""
        }
    ],
    "date_submitted": "2025-09-18T16:29:01.834000-07:00",
    "date_accepted": "2025-12-30T04:02:05.818000-08:00",
    "date_published": "2026-04-22T11:45:00-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/52911/galley/49470/download/"
        }
    ]
}