Myocardial infarction due to paradoxical embolism

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      The data on a twenty-three year old woman who had an atrial septal defect and a myocardial infarction are presented. Factors predisposing to early coronary artery disease were not evident. Catheterization revealed a large atrial septal defect with a pulmonic flow two and a half times the systemic flow. Cineangiography revealed an occlusion of the anterior descending branch of the left coronary artery, the remaining left and the right coronary arteries being normal.
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