A rare cause of acute ST-elevation myocardial infarction: a case of coronary embolism secondary to calcified bicuspid aortic valve
Why the study?
Coronary embolism is an uncommon cause of acute myocardial infarction that can mimic plaque rupture presentation and require immediate intervention.
Population
A middle-aged female with bicuspid aortic valve, severe stenosis, and metastatic breast cancer
Design
Case report
Authors
Discussion
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Member takes
Implication
Coronary embolism merits consideration in AMI with valvular disease; leaves open optimal management in metastatic settings.
Structured PICO
P
Population
Middle-aged female with a history of previous non-ST elevation myocardial infarction, bicuspid aortic valve with severe stenosis, and metastatic breast cancer presenting with acute ST-elevation myocardial infarction (n=1).
I
Intervention
Emergency coronary angiography with embolus aspiration.
O
Outcome
Flow restoration and clinical recovery.
Coronary embolism from a calcified bicuspid aortic valve is a rare but important cause of acute STEMI that can be successfully managed with aspiration thrombectomy.
Cite This Study
Bularga et al. (2021) studied this question.