Acute Myocardial Infarction of the Left Main Coronary Artery Secondary to Embolism

There are few reported cases of left main artery embolism and is usually fatal, the importance of atrial fibrillation as a cause of acute myocardial infarction and the treatment these patients should be offered, this case highlights the challenges faced during the management of this rare condition due to lack of clear-cut guidelines describing an evidence-based approach [1]. We describe the case of of LMCA thrombus that presented as ST-elevation myocardial infarction (STEMI) in a patient with paroxysmal atrial fibrillation who was successfully treated with thrombus aspiration is presented. We highlight the importance of intravascular imaging to determine the underlying putative mechanism.