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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Main Authors: Hussein Daoud, Ashraf Abugroun, Shruti Erramilli, Surender Kumar
Format: Article
Language:English
Published: Wiley 2019-01-01
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.
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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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AT shrutierramilli acutecoronarysyndromeacsduetocoronaryarteryembolisminapatientwithatrialfibrillation
AT surenderkumar acutecoronarysyndromeacsduetocoronaryarteryembolisminapatientwithatrialfibrillation