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Case Report

Myocardial Infarction with Non Obstructive Coronary Atherosclerosis: A Case Report

Author(s): Mousa S. A. Ghoush*, Safaa Almohdar and Thamer Samha

Volume 2, Issue 1, 2021

Published on: 08 September, 2020

Page: [64 - 67] Pages: 4

DOI: 10.2174/0250688201999200908145933

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Abstract

Background: Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a syndrome with different causes, characterized by clinical evidence of myocardial infarction with normal or near-normal coronary arteries on angiography.

Case Presentation: Here we describe an interesting case of a 29 year old male known to have bioprosthetic aortic valve replacement who presented with chest pain suggestive of the acute coronary syndrome, with rising troponin levels but having a normal coronary angiography and a cardiac magnetic resonance imaging showing evidence of myocardial infarction thus suggestive of MINOCA.

Conclusion: This case illustrates the increasing clinical role of cardiac magnetic resonance imaging in modern cardiology and its ability to detect a final diagnosis in patients with MINOCA and also raise the possibility of recurrent embolic phenomena to the epicardial vessels from bioprosthetic valves, which might be challenging to prove.

Keywords: CMR, Cardiac MRI, MINOCA, Myocardial infarction with spontaneous recanalization, Myocardial oedema, Myocardial infarction.

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