Why the study?
ACS secondary to coronary embolism is an unusual occurrence and an important consideration due to the difficulty in diagnosis.
Coronary artery embolism is a rare but important cause of acute coronary syndrome that should be considered, particularly in patients with atrial fibrillation.
Coronary embolism merits consideration in ACS with AF; this case extends angiographic descriptions but leaves open evidence-based management strategies.
Acute coronary syndrome (ACS) secondary to a coronary embolism is an unusual occurrence, yet an important consideration given the difficult diagnosis. We report a case of a 69-year-old male with a medical history of paroxysmal atrial fibrillation who presented with chest pain and shortness of breath. A coronary angiogram was significant for three focal transluminal and translucent areas in the ostial, mid, and distal circumflex artery consistent with embolic disease. The patient was subsequently managed medically with anticoagulation. Despite being a relatively rare entity, thromboembolism into the coronary arteries can provoke an acute myocardial infarction, with atrial fibrillation being the most common risk factor. Treatment modalities for ACS secondary to thromboembolism include stent placement, intracoronary thrombolysis, and thrombus aspiration.
No takes yet. Share an insight, caveat, or question.
Daoud et al. (2019) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: