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Updated: May 6, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Acute myocardial infarction due to coronary artery embolus associated with atrial fibrillation
Bo Xu1, Paul Williams, Andrew T Burns
1Department of Cardiology, St Vincent's Hospital Melbourne , Victoria , Australia.
Insights
Coronary artery embolus, a rare cause of heart attack, can stem from atrial fibrillation. This case highlights successful treatment using thrombectomy aspiration for acute myocardial infarction.
Area of Science:
- Cardiology
- Vascular Medicine
- Thrombosis
Background:
- Coronary artery embolus is an uncommon cause of acute myocardial infarction (AMI).
- Atrial fibrillation is a known risk factor for embolic events.
- Early recognition and intervention are crucial for managing AMI.
Observation:
- An 80-year-old woman presented with symptoms of acute coronary syndrome.
- Diagnostic evaluation revealed a coronary artery embolus as the cause.
- The patient had a history of atrial fibrillation.
Findings:
- The coronary artery embolus was successfully treated with a thrombectomy aspiration catheter.
- This intervention led to the resolution of acute myocardial infarction symptoms.
- The patient's condition improved following the procedure.
Implications:
- Thrombectomy aspiration is an effective treatment for acute myocardial infarction secondary to coronary artery embolus.
- This case underscores the importance of considering coronary embolism in patients with atrial fibrillation and acute coronary syndrome.
- Further research may elucidate the prevalence and optimal management strategies for coronary artery emboli.
Abstract:
Coronary artery embolus is a rare and potentially under- recognised cause of acute myocardial infarction. We describe the case of an 80-year-old woman presenting with an acute coronary syndrome secondary to coronary artery embolus associated with atrial fibrillation, which was successfully treated with the use of a thrombectomy aspiration catheter.
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