Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation
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...
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Wiley
2019-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2019/9347198 |
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author | Hussein Daoud Ashraf Abugroun Shruti Erramilli Surender Kumar |
author_facet | Hussein Daoud Ashraf Abugroun Shruti Erramilli Surender Kumar |
author_sort | Hussein Daoud |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-7eed37ea9e5f43d1aa9c8d191708f006 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-7eed37ea9e5f43d1aa9c8d191708f0062025-02-03T01:12:28ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/93471989347198Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial FibrillationHussein Daoud0Ashraf Abugroun1Shruti Erramilli2Surender Kumar3Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USADepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USADepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USADepartment of Cardiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USAAcute 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.http://dx.doi.org/10.1155/2019/9347198 |
spellingShingle | Hussein Daoud Ashraf Abugroun Shruti Erramilli Surender Kumar Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation Case Reports in Cardiology |
title | Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation |
title_full | Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation |
title_fullStr | Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation |
title_full_unstemmed | Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation |
title_short | Acute Coronary Syndrome (ACS) due to Coronary Artery Embolism in a Patient with Atrial Fibrillation |
title_sort | acute coronary syndrome acs due to coronary artery embolism in a patient with atrial fibrillation |
url | http://dx.doi.org/10.1155/2019/9347198 |
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