Coronary artery thromboembolism from left appendage mural thrombus- a rare complication from atrial fibrillation.
Sinead McCarthyJack GarlandChristopher X WongRexson D TsePublished in: Forensic science, medicine, and pathology (2021)
A 54-year-old man with recurrent, persistent atrial fibrillation was found dead unexpectedly. He was reportedly non-compliant with his medications and was not on anti-coagulant therapy. He was found dead in his residence after complaining of abdominal discomfort a day prior to death. Postmortem examination revealed a thromboembolus occluding the left anterior descending coronary artery that originated from a mural thrombus in the left appendage, in addition to kidney infarcts. Although atrial fibrillation-related thromboembolism is often speculated to be a cause of myocardial infarction with non-obstructive coronary arteries, supporting pathological evidence is rare. This case documents radiological, macroscopic and microscopic images of this important complication from atrial fibrillation.
Keyphrases
- atrial fibrillation
- coronary artery
- catheter ablation
- oral anticoagulants
- left atrial
- left atrial appendage
- heart failure
- direct oral anticoagulants
- pulmonary artery
- percutaneous coronary intervention
- coronary artery disease
- single cell
- machine learning
- convolutional neural network
- aortic valve
- bone marrow
- acute coronary syndrome
- optical coherence tomography
- drug induced