Acute myocardial infarction caused by coronary embolism complicated by left ventricular free wall rupture

Acute myocardial Infarction with normal coronary arteries is a relatively i nfrequent finding. This report describes a rare combination of an embolic e vent to a normal coronary artery, presumably originating from a left atrial thrombus, An anomalous origin of the infarct-related coronary artery presu mably enabled preferential penetration of the clot into the artery. The inf arction was further complicated by rupture of the left ventricular free wal l.