Paradoxical Coronary Embolism Causing Unstable Angina in an Octogenarian

Abstract

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.