EuroPCR2026-images-92725-hidden-source

What is the most likely cause of the coronary subocclusion?
Complicated atherosclerotic plaque with superimposed atherothrombotic phenomenon
Coronary thromboembolism originating from left atrial appendage
Paradoxical coronary thromboembolism via patent foramen ovale
Correct! The correct answer is "Coronary thromboembolism originating from left atrial appendage".
 
Complete coronary recanalization and removal of thrombotic material were achieved with manual coronary thromboaspiration, with no need for coronary angioplasty (Panel B).Review of the CT angiography revealed a large thrombus in the left atrial appendage, allowing identification of the source of the thromboembolus (Panel C).Continuous ECG monitoring during the subsequent hospital stay revealed episodes of paroxysmal atrial fibrillation.

 
Good try! The correct answer is "Coronary thromboembolism originating from left atrial appendage".
 
Complete coronary recanalization and removal of thrombotic material were achieved with manual coronary thromboaspiration, with no need for coronary angioplasty (Panel B).Review of the CT angiography revealed a large thrombus in the left atrial appendage, allowing identification of the source of the thromboembolus (Panel C).Continuous ECG monitoring during the subsequent hospital stay revealed episodes of paroxysmal atrial fibrillation.
 
 
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