Title:Myocardial Infarction with Non Obstructive Coronary Atherosclerosis: A Case Report
Volume: 2
Author(s): Mousa S. A. Ghoush*, Safaa Almohdar and Thamer Samha
Affiliation:
- Zayed Military Hospital, Internal Medicine Resident, Abu Dhabi,United Arab Emirates
Keywords:
CMR, Cardiac MRI, MINOCA, Myocardial infarction with spontaneous recanalization, Myocardial oedema, Myocardial infarction.
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.
