Acute myocardial infarction caused by coronary embolism complicated by left ventricular free wall rupture.
Acute myocardial infarction with normal coronary arteries is a relatively infrequent finding. This report describes a rare combination of an embolic event to a normal coronary artery, presumably originating from a left atrial thrombus. An anomalous origin of the infarct-related coronary artery presumably enabled preferential penetration of the clot into the artery. The infarction was further complicated by rupture of the left ventricular free wall.
Tobar
R
R
Heart Institute, E. Wolfson Medical Center, Holon, Sackler School of Medicine, Tel-Aviv University.
Kriwisky
M
M
Rozenman
Y
Y
Harpaz
D
D
D000368:Aged; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004452:Echocardiography / Q000379:methods; D004617:Embolism / Q000150:complications* / Q000000981:diagnostic imaging; D006342:Heart Rupture, Post-Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*