Clinical & Experimental Cardiology
Open Access

Abstract

Paradoxical Coronary Embolism Causing Unstable Angina in an Octogenarian

Vikas Kumar, Sunder Negi, Ankur Ahuja and Deepak Puri

Acute coronary syndrome resulting from paradoxical coronary embolism is a known and dreaded entity. It should be suspected in all patients who present with acute coronary syndrome with normal coronary arteries on angiography, irrespective of age. We report a case of an 80 year old male with unstable angina with atrial septal defect and 95% acute thrombotic occlusion of the right coronary artery with rest of the coronaries being normal on coronary angiography.