Key result
Coronary angiography with thrombus aspiration successfully restored blood flow in a 77-year-old man with an acute occlusion of the left circumflex artery secondary to atrial fibrillation.
Case Report (n=1)
Highlights coronary embolism as a potential complication of newly diagnosed atrial fibrillation presenting as myocardial infarction.
Coronary embolism from new AF may mimic atherosclerotic occlusion; extends sparse case reports but leaves open need for systematic study.
Coronary embolism is a well-recognized cause of myocardial infarction. It is often under diagnosed and cardiologists need to be vigilant for this diagnosis. A 77-year-old man presented with chest pain with an ECG showing a new diagnosis of atrial fibrillation. Owing to ongoing chest pain coronary angiography was performed and revealed an acute occlusion of the left circumflex artery with coronary blood flow restored following aspiration of a large red thrombus. Following this the coronary vessel looked smooth with no residual coronary lesions requiring angioplasty or plaque rupture to justify the thrombosis. The clinical picture and angiographic data suggested the coronary embolus was secondary to the newly diagnosed atrial fibrillation.
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Mallouppas et al. (2015) conducted a case report in Coronary embolism secondary to atrial fibrillation (n=1). Coronary angiography and thrombus aspiration was evaluated on Restoration of coronary blood flow. Coronary angiography with thrombus aspiration successfully restored blood flow in a 77-year-old man with an acute occlusion of the left circumflex artery secondary to atrial fibrillation.
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