Síndrome coronario agudo de origen embólico, reporte de caso

Alejandro Narváez Orozco; Alberto Navarro Navajas; Carolina Cardona Buitrago; Juan M. Senior-Sánchez; Juan Camilo Ortiz Uribe; Juan Andrés Delgado Restrepo

doi:10.47487/apcyccv.v5i1.347

Authors

Alejandro Narváez Orozco UniversidaddeAntioquia, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0002-0185-509X
Alberto Navarro Navajas UniversidaddeAntioquia, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0002-7428-1859
Carolina Cardona Buitrago UniversidaddeAntioquia, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0002-0820-509X
Juan M. Senior-Sánchez Sección de Cardiología, Departamento de Medicina Interna, Grupo para el Estudio de las Enfermedades Cardiovasculares, Universidad de Antioquia Antioquia, Colombia; ServiciodeHemodinamia, Unidad Funcional Integrada Cardiopulmonar y Vascular Periférica, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0001-8312-7194
Juan Camilo Ortiz Uribe Sección de Cardiología, Departamento de Medicina Interna, Grupo para el Estudio de las Enfermedades Cardiovasculares, Universidad de Antioquia Antioquia, Colombia; ServiciodeHemodinamia, Unidad Funcional Integrada Cardiopulmonar y Vascular Periférica, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0003-0714-6814
Juan Andrés Delgado Restrepo Sección de Cardiología, Departamento de Medicina Interna, Grupo para el Estudio de las Enfermedades Cardiovasculares, Universidad de Antioquia Antioquia, Colombia; ServiciodeHemodinamia, Unidad Funcional Integrada Cardiopulmonar y Vascular Periférica, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. https://orcid.org/0000-0001-9877-0852

DOI:

https://doi.org/10.47487/apcyccv.v5i1.347

Keywords:

Myocardial Infarction, Acute Coronary Syndrome, Embolism, Coronary Artery, Atrial Fibrillation

Abstract

Coronary embolism (CE) is a rare cause of non-atherosclerotic acute coronary syndrome (ACS). The clinical presentation is similar to ACS, and the diagnosis is supported by Shibata criteria. Atrial fibrillation is the main reported etiology in CE cases. Management includes percutaneous intervention with thromboaspiration and anticoagulation. The following case is a description of a patient with acute chest pain and recently diagnosed atrial fibrillation with a rapid ventricular response, is described. A thrombotic lesion in the distal right coronary artery of embolic origin, was documented. Successful mechanical thromboaspiration was performed; intravascular ultrasound showed no thrombus, dissection, or atherosclerotic plaque. CE is an underdiagnosed cause of ACS; diagnosis relies on Shibata criteria, and patients experience worse outcomes in follow-up.

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