Paradoxical coronary embolism in Erdheim-Chester disease: invasive assessment and multidisciplinary management

Oxf Med Case Reports. 2024 Dec 28;2024(12):omae163. doi: 10.1093/omcr/omae163. eCollection 2024 Dec.

Abstract

We report a case of non-ST elevation myocardial infarction in a 36-year-old man with Erdheim-Chester disease (ECD). Multimodality assessment revealed acute coronary thrombus with simultaneous recurrent pulmonary embolism in spite of compliance with a direct oral anticoagulant. Prior case reports of acute myocardial infarction in this population have not outlined the role of catheter based intravascular assessment and treatment in this rare clinical entity.

Keywords: Erdheim-Chester disease; coronary embolism; non-ST elevation myocardial infarction.

Publication types

  • Case Reports