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Journal of Medical Case Reports

, 3:8786

First Online: 27 August 2009Received: 23 February 2008Accepted: 22 January 2009DOI: 10.4076-1752-1947-3-8786

Cite this article as: Gopaluni, S., Shaukat, A., Gray, M. et al. J Med Case Reports 2009 3: 8786. doi:10.4076-1752-1947-3-8786


IntroductionMyocardial infarction and coronary artery disease in people under 40 years of age are relatively uncommon. To establish a diagnosis, physicians need a high degree of clinical suspicion.

Case presentationWe report the case of a 33-year-old Caucasian man presenting with classical signs and symptoms of acute pulmonary embolism. Subsequent investigations interestingly revealed right ventricular mural thrombus with no obvious underlying pathology triggering it. On cardiac magnetic resonance imaging, he was found to have a right ventricular infarct with secondary thrombus formation. Coronary angiography confirmed ostial occlusion of the right coronary artery.

ConclusionThis is an unusual case of premature myocardial infarction presenting primarily with secondary complications.

AbbreviationsCTcomputed tomography

CTPAcomputed tomography pulmonary angiogram



MRImagnetic resonance imaging

PEpulmonary embolism

RVright ventricle.

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Author: Seerapani Gopaluni - Aadil Shaukat - Martin Gray - Roshni Gokhale - M Al-Bustami



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