ArticleEuropean heart journal. Case reports2026
Unmasking coronary embolism: rare non-atherosclerotic causes of acute coronary syndrome in the young: case series.
Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Coronary embolism is an uncommon, non-atherosclerotic cause of acute coronary syndrome (ACS) and is frequently under-recognized. We describe three rare presentations of coronary embolism causing ACS in young patients. Cases summary: Discussion: The aetiology and source for coronary embolism in majority of the non-atherosclerotic ACS patients become clear from past symptoms in history and cardiovascular imaging. The treatment in most cases of coronary embolism depends on the site of obstruction, i.e. distal branch vessel vs. proximal vessel obstruction and also the nature of suspected embolic material. Aspiration thrombectomy and anticoagulation remains the mainstay in majority of thromboembolic lesions, whereas non-thrombotic lesions need to be managed on an individualized approach. Conclusion: Coronary embolism should be considered among the differential diagnoses of myocardial infarction with non-obstructive coronary arteries and ACS in young patients without significant atherosclerotic disease, particularly when an embolic substrate is identifiable.
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