Narváez Orozco Alejandro, Navarro Navajas Alberto, Cardona Buitrago Carolina, Senior-Sánchez Juan M, Ortiz Uribe Juan Camilo, Delgado Restrepo Juan Andrés
Universidad de Antioquia, Hospital Universitario San Vicente Fundación, Antioquia, Colombia. Universidad de Antioquia Universidad de Antioquia Hospital Universitario San Vicente Fundación Antioquia Colombia.
Sección de Cardiología, Departamento de Medicina Interna, Grupo para el Estudio de las Enfermedades Cardiovasculares, Universidad de Antioquia. Antioquia, Colombia. Universidad de Antioquia Sección de Cardiología, Departamento de Medicina Interna, Grupo para el Estudio de las Enfermedades Cardiovasculares Universidad de Antioquia Antioquia Colombia.
Arch Peru Cardiol Cir Cardiovasc. 2024 Mar 19;5(1):45-49. doi: 10.47487/apcyccv.v5i1.347. eCollection 2024 Jan-Mar.
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 (AF) with a rapid ventricular response, is described. A thrombotic lesion in the distal right coronary artery (RCA) of embolic origin, was documented. Successful mechanical thromboaspiration was performed; intravascular ultrasound (IVUS) 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.
冠状动脉栓塞（CE）是引起非动脉粥样硬化性急性冠状动脉综合征（ACS）的罕见原因。其临床表现与ACS相似，Shibata标准有助于诊断。心房颤动是CE病例中主要的报告病因。治疗包括经皮血栓抽吸介入治疗和抗凝治疗。以下病例描述了一名患有急性胸痛且近期诊断为心房颤动（AF）伴快速心室反应的患者。记录显示右冠状动脉（RCA）远端存在栓塞性血栓病变。成功进行了机械血栓抽吸；血管内超声（IVUS）显示无血栓、夹层或动脉粥样硬化斑块。CE是ACS的一个诊断不足的病因；诊断依赖于Shibata标准，且患者在随访中预后较差。
