Embolic events from left atrial myxoma can present as acute myocardial infarction, and primary PCI with aspiration thrombectomy may fail to restore coronary blood flow in these cases.
Myxoma embolism should be considered in unexplained MI; this case leaves open optimal management of tumor-related coronary occlusion.
Embolic events are rare presentation of myxoma, which is one of the most prevalent benign cardiac tumors. Here we report the case of a 53-year-old man with presentation of acute anterior infarction and occlusion of the left anterior descending artery in association with left atrial myxoma. Intracoronary aspiration thrombectomy along with frequent balloon inflation was failed to recover distal coronary blood flow.
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Azdaki et al. (2020) studied this question.
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