Anterior wall STEMI in a patient with paroxysmal atrial fibrillation due to coronary embolism: A case report

Coronary embolism (CE) is a rare cause of acute ST-elevation myocardial infarction (STEMI). Atrial fibrillation (AF), left ventricular thrombus, septic emboli from infective endocarditis, myxoma, and paradoxical embolism can induce emboli in coronary arteries. Here we present a case of anterior wall...

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Bibliographic Details
Published in:Annals of medicine and surgery 2022-10, Vol.82, Article 104602
Main Authors: Shah, Newton Ashish, Shah, Sangam, Rijal, Ashes, Chaudhary, Anand, Chand, Swati, Pandey, Shailendra, Rawal, Laba, Parajuli, Suraj, Khanal, Rajaram, Poudel, Chandra Mani
Format: Article
Language:English
Subjects:
Atrial fibrillation
Case Report
Coronary embolism
STEMI
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Summary:Coronary embolism (CE) is a rare cause of acute ST-elevation myocardial infarction (STEMI). Atrial fibrillation (AF), left ventricular thrombus, septic emboli from infective endocarditis, myxoma, and paradoxical embolism can induce emboli in coronary arteries. Here we present a case of anterior wall STEMI secondary to paroxysmal AF in a 60-years-old female with a previous history of right-sided ischemic stroke. The major criteria for diagnosis of coronary embolism include (1) non-atherosclerotic wall of coronary vessels under angiography; (2) concomitant involvement of multiple sites; (3) histological proof of venous thrombus; (4) imaging by echocardiography/CT/MRI showing intra-cardiac thrombus. The minor criteria include (1)
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2022.104602