Coronary embolism should be considered especially when there is a predisposing factor such as intracardiac prosthesis, infective endocarditis, mural thrombus or a cardiac tumor.
Coronary embolism is a rare cause of myocardial infarction, which should be considered, especially when there is a predisposing factor such as endocarditis, intracardiac prosthesis, valvular diseases, atrial fibrillation or cardiac tumors (1-4).
Microscopic coronary embolism
documented in autopsy series is frequent (47%-80%), but clinical MI is extremely rare (1.
Nonatherosclerotic coronary embolism (CE) is an infrequent mechanism in the pathogenesis of acute myocardial infarction (AMI).
Coronary embolism without atherosclerosis was reported in various situations as rheumatic heart disease, atrial fibrillation, dilated cardiomyopathy, intracardiac shunts, hypercoaguable states, endocarditis and valvular prosthesis (2).
There are controversies for the treatment of coronary embolism