Rare Case of Myocardial Infarction in a 19-Year-Old Caused by a Paradoxical Coronary Artery Embolism

摘要

Chest pain visits to the Emergency Department among the young adult population are rarely caused by cardiac etiologies. This case focuses on a 19-year-old man who developed an inferior ST-segment elevation myocardial infarction as a result of a previously undetected large atrial septal defect. This cardiac anomaly facilitated the transport of a paradoxical embolism that occluded the right coronary artery. This rare case highlights the importance of a thorough evaluation to rule out cardiac-related chest pain in young adults, despite the low incidence in this population.